2019

  1. ICD-10-CM Codes
    2. ›
  2. C00-D49 Neoplasms
    3. ›
  3. C00-C14 Malignant neoplasms of lip, oral cavity and pharynx
    4. ›
  4. C05- Malignant neoplasm of palate
    5. ›

2019 ICD-10-CM Diagnosis Code C05.1

Malignant neoplasm of soft palate

    2016 2017 2018 2019 Billable/Specific Code
  • C05.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2019 edition of ICD-10-CM C05.1 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of C05.1 - other international versions of ICD-10 C05.1 may differ.
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (C05.1) and the excluded code together.
  • malignant neoplasm of nasopharyngeal surface of soft palate (
    ICD-10-CM Diagnosis Code C11.3

    Malignant neoplasm of anterior wall of nasopharynx

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Malignant neoplasm of floor of nasopharynx
    • Malignant neoplasm of nasopharyngeal (anterior) (posterior) surface of soft palate
    • Malignant neoplasm of posterior margin of nasal choana
    • Malignant neoplasm of posterior margin of nasal septum
    C11.3
    )
The following code(s) above C05.1 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to C05.1:
  • C00-D49
    2019 ICD-10-CM Range C00-D49

    Neoplasms

    Note
    • Functional activity
    • All neoplasms are classified in this chapter, whether they are functionally active or not. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm.
    • Morphology [Histology]
    • Chapter 2 classifies neoplasms primarily by site (topography), with broad groupings for behavior, malignant, in situ, benign, etc. The Table of Neoplasms should be used to identify the correct topography code. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes.
    • Primary malignant neoplasms overlapping site boundaries
    • A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere. For multiple neoplasms of the same site that are not contiguous, such as tumors in different quadrants of the same breast, codes for each site should be assigned.
    • Malignant neoplasm of ectopic tissue
    • Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g., ectopic pancreatic malignant neoplasms are coded to pancreas, unspecified (C25.9).
    Neoplasms
  • C05
    ICD-10-CM Diagnosis Code C05

    Malignant neoplasm of palate

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • Kaposi's sarcoma of palate (C46.2)
    Use Additional
    • code to identify:
    • alcohol abuse and dependence (F10.-)
    • history of tobacco dependence (Z87.891)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    Malignant neoplasm of palate
Approximate Synonyms
  • Cancer of the palate, soft
  • Primary malignant neoplasm of soft palate
  • Primary squamous cell carcinoma of soft palate
  • Squamous cell carcinoma, soft palate
ICD-10-CM C05.1 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 011 Tracheostomy for face,mouth & neck diagnoses or laryngectomy with mcc
  • 012 Tracheostomy for face,mouth & neck diagnoses or laryngectomy with cc
  • 013 Tracheostomy for face,mouth & neck diagnoses or laryngectomy without cc/mcc
  • 146 Ear, nose, mouth and throat malignancy with mcc
  • 147 Ear, nose, mouth and throat malignancy with cc
  • 148 Ear, nose, mouth and throat malignancy without cc/mcc

Convert C05.1 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
ICD-10-CM Codes Adjacent To C05.1
C03.0 Malignant neoplasm of upper gum
C03.1 Malignant neoplasm of lower gum
C03.9 Malignant neoplasm of gum, unspecified
C04 Malignant neoplasm of floor of mouth
C04.0 Malignant neoplasm of anterior floor of mouth
C04.1 Malignant neoplasm of lateral floor of mouth
C04.8 Malignant neoplasm of overlapping sites of floor of mouth
C04.9 Malignant neoplasm of floor of mouth, unspecified
C05 Malignant neoplasm of palate
C05.0 Malignant neoplasm of hard palate
C05.1 Malignant neoplasm of soft palate
C05.2 Malignant neoplasm of uvula
C05.8 Malignant neoplasm of overlapping sites of palate
C05.9 Malignant neoplasm of palate, unspecified
C06 Malignant neoplasm of other and unspecified parts of mouth
C06.0 Malignant neoplasm of cheek mucosa
C06.1 Malignant neoplasm of vestibule of mouth
C06.2 Malignant neoplasm of retromolar area
C06.8 Malignant neoplasm of overlapping sites of other and unspecified parts of mouth
C06.80 Malignant neoplasm of overlapping sites of unspecified parts of mouth
C06.89 Malignant neoplasm of overlapping sites of other parts of mouth

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

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