ICD-10 · PDGM grouping
C11 Malignant neoplasm of nasopharynx
All 6 codes in the C11 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
6
Can lead a claim
6
Cannot lead a claim
0
What CMS assigns to C11
All 6 codes group to MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases. All 6 count toward the Malignant neoplasm of Lip, Oral cavity and Pharynx, includes Head and Neck Cancers comorbidity subgroup. Every code can lead a claim.
- Malignant neoplasm of Lip, Oral cavity and Pharynx, includes Head and Neck Cancers
Every code in C11
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| C11.0 | Malignant neoplasm of superior wall of nasopharynx | Can lead a claim | K | Malignant neoplasm of Lip, Oral cavity and Pharynx, includes Head and Neck Cancers |
| C11.1 | Malignant neoplasm of posterior wall of nasopharynx | Can lead a claim | K | Malignant neoplasm of Lip, Oral cavity and Pharynx, includes Head and Neck Cancers |
| C11.2 | Malignant neoplasm of lateral wall of nasopharynx | Can lead a claim | K | Malignant neoplasm of Lip, Oral cavity and Pharynx, includes Head and Neck Cancers |
| C11.3 | Malignant neoplasm of anterior wall of nasopharynx | Can lead a claim | K | Malignant neoplasm of Lip, Oral cavity and Pharynx, includes Head and Neck Cancers |
| C11.8 | Malignant neoplasm of overlapping sites of nasopharynx | Can lead a claim | K | Malignant neoplasm of Lip, Oral cavity and Pharynx, includes Head and Neck Cancers |
| C11.9 | Malignant neoplasm of nasopharynx, unspecified | Can lead a claim | K | Malignant neoplasm of Lip, Oral cavity and Pharynx, includes Head and Neck Cancers |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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