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v1.0.0
ICD-10 Guide
ICD-10 CodesC02.0

C02.0

Billable

Malignant neoplasm of dorsal surface of tongue

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

Code Description

ICD-10 C02.0 is a billable code used to indicate a diagnosis of malignant neoplasm of dorsal surface of tongue.

Key Diagnostic Point:

Malignant neoplasm of the dorsal surface of the tongue refers to cancerous growths that occur on the upper surface of the tongue. This type of cancer is often squamous cell carcinoma, which arises from the flat cells lining the tongue. Symptoms may include a persistent sore throat, difficulty swallowing, changes in voice, and a noticeable lump or ulcer on the tongue. Diagnosis typically involves a biopsy, imaging studies, and thorough clinical evaluation. Treatment options may include surgery, radiation therapy, and chemotherapy, depending on the stage of the cancer. The prognosis varies based on the tumor's size, location, and whether it has spread to nearby lymph nodes or other tissues. Early detection is crucial for improving outcomes, as advanced stages can lead to significant complications, including speech and swallowing difficulties.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in tumor staging and grading
  • Need for precise documentation of tumor location
  • Potential for multiple treatment modalities
  • Differentiation from benign lesions

Audit Risk Factors

  • Inadequate documentation of tumor size and staging
  • Failure to document treatment plans and outcomes
  • Misclassification of tumor type (malignant vs. benign)
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed pathology reports, imaging studies, and treatment plans.

Common Clinical Scenarios

Diagnosis and management of tongue malignancies, treatment planning, and follow-up care.

Billing Considerations

Ensure accurate staging and grading of tumors to guide treatment.

Otolaryngology

Documentation Requirements

Surgical reports, pre-operative assessments, and post-operative follow-ups.

Common Clinical Scenarios

Surgical excision of tongue tumors, management of complications, and reconstructive procedures.

Billing Considerations

Document the extent of resection and any reconstructive techniques used.

Coding Guidelines

Inclusion Criteria

Use C02.0 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the tumor's location, size, and staging
  • Include any relevant co
  • morbidities that may affect treatment

Exclusion Criteria

Do NOT use C02.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

41100CPT Code

Excision, tumor, tongue

Clinical Scenario

Used when a malignant tumor is surgically excised from the tongue.

Documentation Requirements

Operative report detailing the extent of excision and pathology results.

Specialty Considerations

Otolaryngology specialists should document the surgical approach and any complications.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of tongue malignancies, improving data accuracy and enhancing treatment planning. The detailed coding structure aids in better tracking of treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of tongue malignancies, improving data accuracy and enhancing treatment planning. The detailed coding structure aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of tongue malignancies, improving data accuracy and enhancing treatment planning. The detailed coding structure aids in better tracking of treatment outcomes and resource allocation.

Resources

Clinical References

  • •
    American Cancer Society - Oral Cavity and Oropharyngeal Cancer

Coding & Billing References

  • •
    American Cancer Society - Oral Cavity and Oropharyngeal Cancer

Frequently Asked Questions

What are the common symptoms of malignant neoplasm of the dorsal surface of the tongue?

Common symptoms include persistent sores or ulcers on the tongue, difficulty swallowing, changes in voice, and unexplained weight loss.