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 CodesC10.0

C10.0

Billable

Malignant neoplasm of vallecula

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

Code Description

ICD-10 C10.0 is a billable code used to indicate a diagnosis of malignant neoplasm of vallecula.

Key Diagnostic Point:

C10.0 refers to a malignant neoplasm located in the vallecula, which is the space between the base of the tongue and the epiglottis. This area is part of the oropharynx and is critical for swallowing and airway protection. Malignant neoplasms in this region can arise from squamous cells and may be associated with risk factors such as tobacco use, alcohol consumption, and human papillomavirus (HPV) infection. HPV-positive oropharyngeal cancers have been increasing in incidence and are often associated with a better prognosis compared to HPV-negative cases. Treatment typically involves a multidisciplinary approach, including surgery, radiation therapy, and chemotherapy, depending on the stage and location of the tumor. Radiation therapy is particularly important in managing these cancers, as it can be used as a primary treatment or adjuvantly to surgery to reduce recurrence risk. Accurate coding for C10.0 requires careful documentation of the tumor's location, histology, and any relevant HPV status, as these factors can influence treatment decisions and outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between malignant and benign neoplasms in the oropharynx.
  • Determining the specific location of the neoplasm within the vallecula.
  • Documenting HPV status, which can affect treatment and prognosis.
  • Understanding the implications of staging and treatment modalities.

Audit Risk Factors

  • Inadequate documentation of HPV status.
  • Failure to specify the exact location of the neoplasm.
  • Misclassification of the neoplasm as benign.
  • Lack of clarity in treatment plans and outcomes.

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed pathology reports, imaging studies, and treatment plans.

Common Clinical Scenarios

Diagnosis and management of oropharyngeal cancers, including surgical interventions and radiation therapy.

Billing Considerations

Documentation must clearly indicate the tumor's location, histological type, and HPV status.

Oncology

Documentation Requirements

Comprehensive treatment plans, including chemotherapy and radiation therapy details.

Common Clinical Scenarios

Management of patients undergoing multimodal treatment for oropharyngeal cancers.

Billing Considerations

Accurate staging and documentation of treatment response are crucial for coding.

Coding Guidelines

Inclusion Criteria

Use C10.0 When
  • According to ICD
  • 10 guidelines, C10
  • 0 should be used when there is a confirmed diagnosis of malignant neoplasm in the vallecula
  • Documentation must support the diagnosis, including pathology reports and imaging findings

Exclusion Criteria

Do NOT use C10.0 When
  • Exclusion criteria include benign neoplasms and neoplasms located in other parts of the oropharynx

Related ICD-10 Codes

Related CPT Codes

31575CPT Code

Laryngoscopy, flexible, diagnostic

Clinical Scenario

Used for evaluation of suspected malignancy in the vallecula.

Documentation Requirements

Document indications for the procedure and findings.

Specialty Considerations

Otolaryngologists should ensure thorough documentation of findings.

77401CPT Code

Radiation treatment delivery, external beam, per treatment session

Clinical Scenario

Used for patients receiving radiation therapy for malignant neoplasm of the vallecula.

Documentation Requirements

Document treatment plan and delivery details.

Specialty Considerations

Oncologists must document the radiation field and dosage.

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, including those in the vallecula. This specificity aids in better tracking of cancer incidence and treatment outcomes, ultimately improving patient care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of malignant neoplasms, including those in the vallecula. This specificity aids in better tracking of cancer incidence and treatment outcomes, ultimately improving patient care.

Reimbursement & Billing Impact

reimbursement.

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 is the significance of HPV status in coding C10.0?

HPV status is crucial as it can influence treatment decisions and prognosis. Accurate documentation of HPV status is necessary for proper coding and to reflect the patient's clinical picture.