C00.3 — Malignant neoplasm of upper lip, inner aspect
Is C00.3 billable?
Yes — C00.3 is billable for FY2027. C00.3 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. C00.3 may be submitted for encounters from October 1, 2026 through September 30, 2027.
C00.3 at a glance
| Code | C00.3 |
|---|---|
| Description | Malignant neoplasm of upper lip, inner aspect |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does C00.3 group to?
C00.3 sits in MDC Pre and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 011Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCCsurgical
- 012Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CCsurgical
- 013Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCCsurgical
Inclusion terms
Alternative wording in documentation that is classified to C00.3.
- Malignant neoplasm of buccal aspect of upper lip
- Malignant neoplasm of frenulum of upper lip
- Malignant neoplasm of mucosa of upper lip
- Malignant neoplasm of oral aspect of upper lip
Excludes1 — never code together — inherited from C00
The conditions below can never be reported together with C00.3 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Use additional code — inherited from C00
Report an additional code alongside C00.3 to fully describe the condition. C00.3 is sequenced first.
How long has C00.3 existed?
C00.3 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the C00 family? (8)
- C00.0Malignant neoplasm of external upper lip
- C00.1Malignant neoplasm of external lower lip
- C00.2Malignant neoplasm of external lip, unspecified
- C00.4Malignant neoplasm of lower lip, inner aspect
- C00.5Malignant neoplasm of lip, unspecified, inner aspect
- C00.6Malignant neoplasm of commissure of lip, unspecified
- C00.8Malignant neoplasm of overlapping sites of lip
- C00.9Malignant neoplasm of lip, unspecified