Is ICD-10-CM code C05 billable?

No, C05 (Malignant neoplasm of palate) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code C05 belong to?

C05 belongs to Chapter 2 of the ICD-10-CM tabular list: C00–D49 (Neoplasms).

C05

Non-Billable

ChapterC00–D49

Rankcategory

Description

Malignant neoplasm of palate

About ICD-10-CM code C05

C05 is the ICD-10-CM diagnosis code for Malignant neoplasm of palate. It sits in C00-D49 Neoplasms, within Malignant neoplasms of lip, oral cavity and pharynx (C00-C14). C05 is not billable on its own, coders must choose one of its more specific child codes instead.

Use a more specific code (5 billable)

C05.0Malignant neoplasm of hard palate C05.1Malignant neoplasm of soft palate C05.2Malignant neoplasm of uvula C05.8Malignant neoplasm of overlapping sites of palate C05.9Malignant neoplasm of palate, unspecified

Metadata & Insights

•Non-billable category (requires more specific sub-code).
•Chapter 2: Neoplasms (C00-D49).

Instructional Notes

Excludes1(Not coded here. Use a different code.)

Kaposi's sarcoma of palate (C46.2)

Use Additional Code

code to identify:
alcohol abuse and dependence (F10.-)
history of tobacco dependence (Z87.891)
tobacco dependence (F17.-)
tobacco use (Z72.0)

Clinical Hierarchy

BillableHas subcodes

CH2Neoplasms (C00-D49)

C00-C14Malignant neoplasms of lip, oral cavity and pharynx (C00-C14)

C05Malignant neoplasm of palateNot billable

C05.0Malignant neoplasm of hard palateBillable

C05.1Malignant neoplasm of soft palateBillable

C05.2Malignant neoplasm of uvulaBillable

C05.8Malignant neoplasm of overlapping sites of palateBillable

C05.9Malignant neoplasm of palate, unspecifiedBillable

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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