ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesC05.8

C05.8

Billable

Malignant neoplasm of overlapping sites of palate

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

Code Description

ICD-10 C05.8 is a billable code used to indicate a diagnosis of malignant neoplasm of overlapping sites of palate.

Key Diagnostic Point:

C05.8 refers to malignant neoplasms that occur at overlapping sites of the palate, which can include both the hard and soft palate. These tumors are often squamous cell carcinomas, which are the most common type of oral cavity malignancy. The palate serves as a critical structure in the oral cavity, playing a vital role in speech and swallowing. Malignant neoplasms in this area can present with symptoms such as pain, difficulty swallowing, and changes in speech. Diagnosis typically involves a combination of clinical examination, imaging studies, and biopsy to confirm malignancy. Treatment often requires a multidisciplinary approach, including surgical intervention, radiation therapy, and possibly chemotherapy, depending on the stage and extent of the disease. Dental considerations are paramount, as oral health can significantly impact treatment outcomes and quality of life for patients undergoing therapy for palate malignancies. Regular dental evaluations and interventions may be necessary to manage complications arising from both the disease and its treatment.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variability in tumor location and extent of involvement
  • Need for precise documentation of overlapping sites
  • Potential for multiple treatment modalities
  • Interdisciplinary collaboration required for comprehensive care

Audit Risk Factors

  • Inadequate documentation of tumor location
  • Failure to specify the type of malignancy
  • Lack of clarity on treatment modalities used
  • Misclassification of overlapping sites

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed pathology reports, imaging studies, and treatment plans must be documented to support the diagnosis and treatment of malignant neoplasms.

Common Clinical Scenarios

Patients presenting with oral lesions, difficulty swallowing, or unexplained oral pain.

Billing Considerations

Ensure that all treatment modalities are documented, including any referrals to dental specialists for management of oral health during cancer treatment.

Dentistry

Documentation Requirements

Comprehensive dental evaluations, including assessments of oral hygiene and any interventions performed to manage complications.

Common Clinical Scenarios

Management of oral complications arising from cancer treatment, such as mucositis or xerostomia.

Billing Considerations

Coordination with oncology to ensure that dental treatments do not interfere with cancer therapies.

Coding Guidelines

Inclusion Criteria

Use C05.8 When
  • According to ICD
  • 10 coding guidelines, C05
  • 8 should be used when the malignancy is confirmed and documented by a healthcare provider
  • It is essential to include the specific site of the tumor and any relevant treatment details
  • malignant conditions affecting the palate

Exclusion Criteria

Do NOT use C05.8 When
  • Exclusion criteria include benign neoplasms or non

Related ICD-10 Codes

Related CPT Codes

19301CPT Code

Excision, malignant skin lesion

Clinical Scenario

Used when excising a malignant neoplasm of the palate.

Documentation Requirements

Pathology report confirming malignancy and surgical notes detailing the excision.

Specialty Considerations

Oncology and oral surgery must coordinate to ensure comprehensive care.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of oral cavity malignancies, including overlapping sites, which enhances the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of oral cavity malignancies, including overlapping sites, which enhances the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common symptoms of malignant neoplasms of the palate?

Common symptoms include oral pain, difficulty swallowing, changes in speech, and non-healing ulcers.

How is a malignant neoplasm of the palate diagnosed?

Diagnosis typically involves clinical examination, imaging studies, and biopsy to confirm malignancy.

What treatment options are available for palate malignancies?

Treatment may include surgery, radiation therapy, and chemotherapy, often requiring a multidisciplinary approach.