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ICD-10 Guide
ICD-10 CodesC32.8

C32.8

Billable

Malignant neoplasm of overlapping sites of larynx

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

Code Description

ICD-10 C32.8 is a billable code used to indicate a diagnosis of malignant neoplasm of overlapping sites of larynx.

Key Diagnostic Point:

C32.8 refers to malignant neoplasms that occur in overlapping sites of the larynx, which may include various regions such as the glottis, supraglottis, and subglottis. Laryngeal cancer is primarily squamous cell carcinoma, and it can present with symptoms such as hoarseness, difficulty swallowing, and persistent cough. The diagnosis is typically confirmed through laryngoscopy and biopsy. Treatment options may include surgery, radiation therapy, and chemotherapy, with a focus on preserving voice function when possible. Staging of laryngeal cancer is crucial for determining the appropriate treatment plan and involves assessing the tumor size, lymph node involvement, and presence of metastasis. The complexity of this code arises from the need for precise documentation of the tumor's location and extent, as well as the multidisciplinary approach often required for management.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variability in tumor location and extent
  • Need for detailed staging information
  • Multidisciplinary treatment approaches
  • Potential for overlapping diagnoses

Audit Risk Factors

  • Inadequate documentation of tumor location
  • Failure to document staging details
  • Misclassification of overlapping sites
  • Lack of clarity in treatment plans

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed descriptions of tumor location, size, and staging; treatment plans including voice preservation strategies.

Common Clinical Scenarios

Patients presenting with hoarseness, difficulty breathing, or swallowing; follow-up after treatment.

Billing Considerations

Ensure clear documentation of any surgical interventions and their impact on voice function.

Oncology

Documentation Requirements

Comprehensive treatment plans, including chemotherapy and radiation details; staging information.

Common Clinical Scenarios

Management of advanced laryngeal cancer; palliative care considerations.

Billing Considerations

Document any multidisciplinary team discussions regarding treatment options.

Coding Guidelines

Inclusion Criteria

Use C32.8 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the tumor's location and staging
  • Include any relevant treatment details and follow
  • up care

Exclusion Criteria

Do NOT use C32.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

31575CPT Code

Laryngoscopy, flexible, diagnostic

Clinical Scenario

Used for initial evaluation of laryngeal symptoms.

Documentation Requirements

Document findings from the laryngoscopy and any biopsies taken.

Specialty Considerations

Otolaryngologists should ensure clear documentation of the procedure and findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of laryngeal cancers, improving the accuracy of data collection and treatment planning. C32.8 provides a more nuanced understanding of overlapping sites, which is essential for effective management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of laryngeal cancers, improving the accuracy of data collection and treatment planning. C32.8 provides a more nuanced understanding of overlapping sites, which is essential for effective management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of laryngeal cancers, improving the accuracy of data collection and treatment planning. C32.8 provides a more nuanced understanding of overlapping sites, which is essential for effective management.

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 laryngeal cancer?

Common symptoms include persistent hoarseness, throat pain, difficulty swallowing, and a lump in the neck.

How is laryngeal cancer staged?

Laryngeal cancer is staged using the TNM classification system, which assesses tumor size, lymph node involvement, and metastasis.