C14.0 — Malignant neoplasm of pharynx, unspecified
Is C14.0 billable?
Yes, but C14.0 is an unspecified code. C14.0 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, C14.0 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting C14.0 — the more specific alternatives are listed below.
C14.0 at a glance
| Code | C14.0 |
|---|---|
| Description | Malignant neoplasm of pharynx, unspecified |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does C14.0 group to?
C14.0 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
Excludes1 — never code together — inherited from C14
The conditions below can never be reported together with C14.0 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- malignant neoplasm of oral cavity NOS (C06.9)
Use additional code — inherited from C14
Report an additional code alongside C14.0 to fully describe the condition. C14.0 is sequenced first.
- code to identify:
- alcohol abuse and dependence (F10.-)
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
How long has C14.0 existed?
C14.0 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.