C39.0 — Malignant neoplasm of upper respiratory tract, part unspecified
Is C39.0 billable?
Yes, but C39.0 is an unspecified code. C39.0 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, C39.0 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 C39.0 — the more specific alternatives are listed below.
More specific alternatives
C39.0 at a glance
| Code | C39.0 |
|---|---|
| Description | Malignant neoplasm of upper respiratory tract, part unspecified |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does C39.0 group to?
C39.0 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 C30-C39
The conditions below can never be reported together with C39.0 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- mesothelioma (C45.-)
Excludes1 — never code together — inherited from C39
The conditions below can never be reported together with C39.0 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Use additional code — inherited from C39
Report an additional code alongside C39.0 to fully describe the condition. C39.0 is sequenced first.
How long has C39.0 existed?
C39.0 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.