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v1.0.0
ICD-10 Guide
ICD-10 CodesChapter 2: NeoplasmsC32

C32

Billable

Malignant neoplasm of larynx

Chapter 2:Neoplasms

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 C32 is a billable code used to indicate a diagnosis of malignant neoplasm of larynx.

Key Diagnostic Point:

Malignant neoplasm of the larynx, commonly referred to as laryngeal cancer, arises from the epithelial cells lining the larynx. This type of cancer is often associated with risk factors such as tobacco use, excessive alcohol consumption, and exposure to certain chemicals. Symptoms may include hoarseness, difficulty swallowing, persistent cough, and throat pain. Diagnosis typically involves laryngoscopy, imaging studies, and biopsy. Staging of laryngeal cancer is crucial for determining treatment options and prognosis, with stages ranging from localized tumors (Stage I) to advanced disease with regional or distant metastasis (Stage IV). Treatment may involve surgery, radiation therapy, and chemotherapy, with a focus on voice preservation techniques, especially in early-stage cases. The management of laryngeal cancer requires a multidisciplinary approach, including oncologists, surgeons, and speech therapists, to optimize outcomes and maintain quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in staging and treatment options based on tumor location and size
  • Need for precise documentation of symptoms and diagnostic procedures
  • Differentiation between types of laryngeal cancer (e.g., squamous cell carcinoma vs. other histologies)
  • Potential for co-existing conditions affecting treatment decisions

Audit Risk Factors

  • Inadequate documentation of staging and treatment plans
  • Failure to capture all relevant symptoms and diagnostic tests
  • Misclassification of tumor type or stage
  • Inconsistent coding of co-existing conditions

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed notes on laryngeal examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Diagnosis and management of laryngeal cancer, including preoperative assessments and postoperative follow-ups.

Billing Considerations

Ensure accurate staging and documentation of voice preservation techniques.

Oncology

Documentation Requirements

Comprehensive treatment plans, including chemotherapy regimens and radiation therapy details.

Common Clinical Scenarios

Management of advanced laryngeal cancer and coordination of multidisciplinary care.

Billing Considerations

Document patient discussions regarding treatment options and potential side effects.

Coding Guidelines

Inclusion Criteria

Use C32 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the primary site, histology, and staging
  • Include any relevant co
  • existing conditions that may impact treatment

Exclusion Criteria

Do NOT use C32 When
No specific exclusions found.

Related CPT Codes

31575CPT Code

Laryngectomy, total

Clinical Scenario

Performed for advanced laryngeal cancer requiring removal of the larynx.

Documentation Requirements

Operative report detailing the procedure and any complications.

Specialty Considerations

Otolaryngology specialists must document the rationale for surgery.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of laryngeal cancer, improving data accuracy and facilitating better tracking of treatment outcomes and epidemiological studies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of laryngeal cancer, improving data accuracy and facilitating better tracking of treatment outcomes and epidemiological studies.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of laryngeal cancer, improving data accuracy and facilitating better tracking of treatment outcomes and epidemiological studies.

Resources

Clinical References

  • •
    American Cancer Society - Laryngeal Cancer

Coding & Billing References

  • •
    American Cancer Society - Laryngeal Cancer

Frequently Asked Questions

What are the common symptoms of laryngeal cancer?

Common symptoms include persistent hoarseness, difficulty swallowing, a lump in the neck, and chronic cough. Early detection is crucial for effective treatment.