2026 ICD-10-CM Diagnosis Code C02.4Malignant neoplasm of lingual tonsil

ICD-10-CM CodesC00–D49C00-C14C02

ICD-10-CM C02.4
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

C02.4 is a billable ICD-10-CM diagnosis code for malignant neoplasm of lingual tonsil. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 146 through 148. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Head and neck cancers - lip and oral cavity.

Code Identity

ICD-10-CM Code
C02.4
Billable Status
Yes — Valid for Submission
Code Describes
Malignant neoplasm of lingual tonsil
Short Description
Malignant neoplasm of lingual tonsil
Same as the full description in the CMS dataset.
Parent Code
Malignant neoplasm of other and unspecified parts of tongue

Code Classification

ChapterC00–D49Neoplasms
SectionC00-C14Malignant neoplasms of lip, oral cavity and pharynx
CategoryC02Malignant neoplasm of other and unspecified parts of tongue
This CodeC02.4Malignant neoplasm of lingual tonsil

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Carcinoma of base of tongue
  • Carcinoma of lingual tonsil
  • Carcinoma of tongue base - dorsal surface
  • Malignant neoplasm of base of tongue dorsal surface
  • Malignant neoplasm of lingual tonsil
  • Neoplasm of lingual tonsil
  • Primary carcinoma of base of tongue
  • Primary carcinoma of lingual tonsil
  • Primary carcinoma of tongue base - dorsal surface
  • Primary malignant neoplasm of base of tongue
  • Primary malignant neoplasm of dorsal surface of tongue
  • Primary malignant neoplasm of lingual tonsil
  • Primary malignant neoplasm of Waldeyer's ring
  • Primary squamous cell carcinoma of base of tongue
  • Primary squamous cell carcinoma of dorsal surface of tongue
  • Primary squamous cell carcinoma of lingual tonsil
  • Primary squamous cell carcinoma of Waldeyer ring
  • Primary tongue carcinoma
  • Squamous cell carcinoma of tongue

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Type 2 Excludes

  • malignant neoplasm of tonsil NOS C09.9

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR NEO002
Head and neck cancers - lip and oral cavity
Default principal diagnosis: inpatient Yes · outpatient Yes

Table of NeoplasmsClinical

Anatomical sites in the Table of Neoplasms that reference this code family.

SiteMalig.
Primary
Malig.
Secondary
Ca
in situ
BenignUncertainUnspec.
tongue tonsilC02.4C79.89D00.07D10.1D37.02D49.0
tonsil lingualC02.4C79.89D00.07D10.1D37.02D49.0

Patient EducationClinical

Oral Cancer

Oral cancer is cancer of the mouth. It is a type of head and neck cancer. Most oral cancers are squamous cell cancers. They begin in the flat cells that cover the surfaces of your mouth, tongue, and lips. The cancer cells may spread into deeper tissue as the cancer grows.

The full article covers:

  • What is oral cancer?
  • Who is more likely to develop oral cancer?
  • What are the symptoms of oral cancer?
  • How is oral cancer diagnosed?
  • What are the treatments for oral cancer?
  • Can oral cancer be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert C02.4 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
141.6 Mal neo lingual tonsil
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About C02.4Overview

Is C02.4 (Malignant neoplasm of other and unspecified parts of tongue) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report malignant neoplasm of lingual tonsil on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does C02.4 group to?

When malignant neoplasm of lingual tonsil is the principal diagnosis on an inpatient stay, it groups to MS-DRG 146, 147, 148, with relative weights from 0.7971 to 2.1174 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of C02.4?

Under the General Equivalence Mappings, malignant neoplasm of lingual tonsil converts to ICD-9-CM 141.6 (mal neo lingual tonsil). The mapping is a direct match.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.