Not Valid for Submission
C03 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of malignant neoplasm of gum. The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Specific Coding for Malignant neoplasm of gum
Non-specific codes like C03 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for malignant neoplasm of gum:
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code C03:
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
- malignant neoplasm of alveolar (ridge) mucosa
- malignant neoplasm of gingiva
Use Additional CodeUse Additional Code
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
- code to identify:
- alcohol abuse and dependence F10
- history of tobacco dependence Z87.891
- tobacco dependence F17
- tobacco use Z72.0
Type 2 ExcludesType 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
Information for Patients
Oral cancer can form in any part of the mouth. Most oral cancers begin in the flat cells that cover the surfaces of your mouth, tongue, and lips. Anyone can get oral cancer, but the risk is higher if you are male, use tobacco, drink lots of alcohol, have HPV, or have a history of head or neck cancer. Frequent sun exposure is also a risk factor for lip cancer.
Symptoms of oral cancer include
- White or red patches in your mouth
- A mouth sore that won't heal
- Bleeding in your mouth
- Loose teeth
- Problems or pain with swallowing
- A lump in your neck
- An earache
Tests to diagnose oral cancer include a physical exam, endoscopy, biopsy, and imaging tests. Oral cancer treatments may include surgery, radiation therapy, and chemotherapy. Some patients have a combination of treatments.
NIH: National Cancer Institute
- Leukoplakia (Medical Encyclopedia)
- Oral cancer (Medical Encyclopedia)
- Swallowing problems (Medical Encyclopedia)
- Tongue biopsy (Medical Encyclopedia)
[Learn More in MedlinePlus]