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v1.0.0
ICD-10 Guide
ICD-10 CodesC06.0

C06.0

Billable

Malignant neoplasm of cheek mucosa

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

Code Description

ICD-10 C06.0 is a billable code used to indicate a diagnosis of malignant neoplasm of cheek mucosa.

Key Diagnostic Point:

Malignant neoplasm of the cheek mucosa refers to cancerous growths that originate in the mucosal lining of the cheek. This type of cancer is classified under oral cavity malignancies and can arise from various cell types, including squamous cells, which are the most common. Symptoms may include a persistent sore or ulcer in the cheek, difficulty in chewing or swallowing, and changes in speech. Risk factors include tobacco use, excessive alcohol consumption, and HPV infection. Diagnosis typically involves a biopsy, imaging studies, and thorough clinical examination. Treatment often requires a multidisciplinary approach, including surgical resection, radiation therapy, and chemotherapy, depending on the stage and extent of the disease. Dental considerations are crucial, as oral health can significantly impact treatment outcomes and quality of life. Regular dental evaluations and interventions may be necessary to manage complications arising from both the malignancy and its treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation between benign and malignant lesions
  • Need for precise staging of the cancer
  • Documentation of treatment plans and outcomes
  • Multidisciplinary care coordination

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to document staging and treatment plans
  • Misclassification of the neoplasm type
  • Lack of multidisciplinary care notes

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed treatment plans, staging information, and follow-up care notes.

Common Clinical Scenarios

Management of advanced cheek mucosa malignancies, coordination of chemotherapy and radiation therapy.

Billing Considerations

Ensure accurate staging and treatment documentation to support coding.

Dentistry

Documentation Requirements

Oral examination findings, treatment plans, and any dental interventions performed.

Common Clinical Scenarios

Management of oral complications from cancer treatment, including oral mucositis.

Billing Considerations

Document any dental procedures performed in conjunction with cancer treatment.

Coding Guidelines

Inclusion Criteria

Use C06.0 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the diagnosis, staging, and treatment
  • Include any relevant comorbidities and complications

Exclusion Criteria

Do NOT use C06.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

CPT 21045CPT Code

Excision, malignant lesion, cheek

Clinical Scenario

Used when a malignant lesion is surgically excised from the cheek.

Documentation Requirements

Document the size, location, and type of lesion excised.

Specialty Considerations

Oncology and surgical specialties must coordinate documentation.

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, improving 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, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    American Cancer Society - Oral Cavity Cancer

Coding & Billing References

  • •
    American Cancer Society - Oral Cavity Cancer

Frequently Asked Questions

What are the common symptoms of malignant neoplasm of cheek mucosa?

Common symptoms include persistent sores or ulcers in the cheek, pain, difficulty chewing or swallowing, and changes in speech. Early detection is crucial for effective treatment.