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v1.0.0
ICD-10 Guide
ICD-10 CodesC08.0

C08.0

Billable

Malignant neoplasm of submandibular gland

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

Code Description

ICD-10 C08.0 is a billable code used to indicate a diagnosis of malignant neoplasm of submandibular gland.

Key Diagnostic Point:

Malignant neoplasms of the submandibular gland are rare tumors that arise from the salivary gland tissue located beneath the jaw. These tumors can be aggressive and may present with symptoms such as swelling, pain, and difficulty swallowing. The most common types of malignant salivary gland tumors include mucoepidermoid carcinoma, adenoid cystic carcinoma, and acinic cell carcinoma. Imaging studies, particularly MRI and CT scans, are crucial for diagnosis, as they help delineate the tumor's size, extent, and involvement of surrounding structures. Surgical management typically involves a combination of tumor resection and neck dissection, depending on the tumor's stage and location. Postoperative care may include radiation therapy, especially in cases of high-grade tumors or positive margins. Early detection and appropriate management are essential for improving patient outcomes, as these tumors can metastasize to regional lymph nodes and distant sites if not treated promptly.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in tumor histology and behavior
  • Need for precise imaging interpretation
  • Potential for metastasis requiring staging codes
  • Documentation of surgical margins and lymph node involvement

Audit Risk Factors

  • Inadequate documentation of tumor type and grade
  • Failure to document surgical margins
  • Misclassification of benign vs. malignant tumors
  • Incomplete staging information

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed pathology reports, imaging studies, and surgical notes are essential.

Common Clinical Scenarios

Diagnosis and management of salivary gland tumors, including preoperative evaluation and postoperative care.

Billing Considerations

Ensure accurate coding of tumor type and staging; document any complications or additional procedures performed.

Oncology

Documentation Requirements

Comprehensive treatment plans, including chemotherapy or radiation therapy details.

Common Clinical Scenarios

Management of malignant salivary gland tumors, including adjuvant therapies.

Billing Considerations

Document the rationale for treatment choices and any clinical trials involved.

Coding Guidelines

Inclusion Criteria

Use C08.0 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the tumor's histology, stage, and treatment
  • Include any relevant imaging findings and surgical details to support the diagnosis

Exclusion Criteria

Do NOT use C08.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

42410CPT Code

Excision of submandibular gland

Clinical Scenario

Used during surgical management of malignant neoplasms of the submandibular gland.

Documentation Requirements

Operative report detailing the procedure, findings, and any complications.

Specialty Considerations

Otolaryngology specialists should ensure accurate coding of the procedure performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of malignant neoplasms, improving the granularity of data for research and treatment outcomes. C08.0 provides a clear distinction from benign conditions, aiding in appropriate management and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of malignant neoplasms, improving the granularity of data for research and treatment outcomes. C08.0 provides a clear distinction from benign conditions, aiding in appropriate management and reimbursement.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American Academy of Otolaryngology - Head and Neck Surgery

Coding & Billing References

  • •
    American Academy of Otolaryngology - Head and Neck Surgery

Frequently Asked Questions

What are the common symptoms of a malignant neoplasm of the submandibular gland?

Common symptoms include swelling in the submandibular area, pain, difficulty swallowing, and sometimes numbness or tingling if nerves are involved.

How is a malignant neoplasm of the submandibular gland diagnosed?

Diagnosis typically involves imaging studies such as CT or MRI, followed by a biopsy to confirm the histological type of the tumor.