ICD-9 Code 230.0

Carcinoma in situ of lip, oral cavity, and pharynx

Not Valid for Submission

230.0 is a legacy non-billable code used to specify a medical diagnosis of carcinoma in situ of lip, oral cavity, and pharynx. This code was replaced on September 30, 2015 by its ICD-10 equivalent.

ICD-9: 230.0
Short Description:Ca in situ oral cav/phar
Long Description:Carcinoma in situ of lip, oral cavity, and pharynx

Convert 230.0 to ICD-10

The following crosswalk between ICD-9 to ICD-10 is based based on the General Equivalence Mappings (GEMS) information:

  • D00.00 - Carcinoma in situ of oral cavity, unspecified site
  • D00.01 - Carcinoma in situ of labial mucosa and vermilion border
  • D00.02 - Carcinoma in situ of buccal mucosa
  • D00.03 - Carcinoma in situ of gingiva and edentulous alveolar ridge
  • D00.04 - Carcinoma in situ of soft palate
  • D00.05 - Carcinoma in situ of hard palate
  • D00.06 - Carcinoma in situ of floor of mouth
  • D00.07 - Carcinoma in situ of tongue
  • D00.08 - Carcinoma in situ of pharynx

Code Classification

  • Neoplasms (140–239)
    • Carcinoma in situ (230-234)
      • 230 Carcinoma in situ of digestive organs

Information for Medical Professionals

Index to Diseases and Injuries

References found for the code 230.0 in the Index of Diseases and Injuries:


Information for Patients


Oral Cancer

Oral cancer can form in any part of the mouth or throat. Most oral cancers begin in the tongue and in the floor of the mouth. Anyone can get oral cancer, but the risk is higher if you are male, over age 40, use tobacco or alcohol or have a history of head or neck cancer. Frequent sun exposure is also a risk 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

Oral cancer treatments may include surgery, radiation therapy or chemotherapy. Some patients have a combination of treatments.

NIH: National Cancer Institute

  • After chemotherapy - discharge
  • Head and Neck Radiation Treatment and Your Mouth - NIH (National Institute of Dental and Craniofacial Research)
  • Leukoplakia
  • Mouth and neck radiation - discharge
  • Oral Cancer - NIH (National Institute of Dental and Craniofacial Research)
  • Oral cancer
  • Swallowing problems
  • Tongue biopsy
  • Understanding Chemotherapy - NIH - Easy-to-Read (National Cancer Institute)
  • What to Know about External Beam Radiation Therapy - NIH - Easy-to-Read (National Cancer Institute)

[Read More]

Throat Cancer

Also called: Hypopharyngeal cancer, Laryngeal cancer, Laryngopharyngeal cancer, Nasopharyngeal cancer, Oropharyngeal cancer, Pharyngeal cancer

Throat cancer is a type of head and neck cancer. Throat cancer has different names, depending on what part of the throat is affected. The different parts of the throat are called the oropharynx, the hypopharynx, and the nasopharynx. Sometimes the larynx, or voice box, is also included.

The main risk factors for throat cancer are smoking or using smokeless tobacco and use of alcohol.

Symptoms of throat cancer may include

  • Trouble breathing or speaking
  • Frequent headaches
  • Pain or ringing in the ears
  • Trouble swallowing
  • Ear pain

Treatments include surgery, radiation therapy, and chemotherapy.

NIH: National Cancer Institute

  • Cancer - throat or larynx
  • Laryngectomy
  • Swallowing problems
  • What to Know about External Beam Radiation Therapy - NIH - Easy-to-Read (National Cancer Institute)

[Read More]

ICD-9 Footnotes

General Equivalence Map Definitions
The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Index of Diseases and Injuries Definitions

  • And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
  • Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • Type 2 Excludes Notes - 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.
  • Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
  • NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
  • See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
  • See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
  • 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.