ICD-10 · PDGM grouping

C00-C14 — Malignant neoplasms

Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.1.26.

OASIS-E2 v1.00.0 · ingested 2026-04-26

Codes in range

65

No clinical group

6

A period cannot be grouped from these.

Barred as primary

0

CMS rejects these in the primary position.

Where these codes group

59 of the 65 codes in C00-C14 group to MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases. A further 6 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.

Every code in C00-C14

Descriptions are CMS’s own, abbreviated as CMS abbreviates them.

CodeDescriptionClinical groupPrimary position
C000Malignant neoplasm of external upper lipKAccepted
C001Malignant neoplasm of external lower lipKAccepted
C002Malignant neoplasm of external lip, unspecifiedNoneCannot group
C003Malignant neoplasm of upper lip, inner aspectKAccepted
C004Malignant neoplasm of lower lip, inner aspectKAccepted
C005Malignant neoplasm of lip, unspecified, inner aspectNoneCannot group
C006Malignant neoplasm of commissure of lip, unspecifiedKAccepted
C008Malignant neoplasm of overlapping sites of lipKAccepted
C009Malignant neoplasm of lip, unspecifiedNoneCannot group
C01Malignant neoplasm of base of tongueKAccepted
C020Malignant neoplasm of dorsal surface of tongueKAccepted
C021Malignant neoplasm of border of tongueKAccepted
C022Malignant neoplasm of ventral surface of tongueKAccepted
C023Malig neoplasm of anterior two-thirds of tongue, part unspKAccepted
C024Malignant neoplasm of lingual tonsilKAccepted
C028Malignant neoplasm of overlapping sites of tongueKAccepted
C029Malignant neoplasm of tongue, unspecifiedKAccepted
C030Malignant neoplasm of upper gumKAccepted
C031Malignant neoplasm of lower gumKAccepted
C039Malignant neoplasm of gum, unspecifiedNoneCannot group
C040Malignant neoplasm of anterior floor of mouthKAccepted
C041Malignant neoplasm of lateral floor of mouthKAccepted
C048Malignant neoplasm of overlapping sites of floor of mouthKAccepted
C049Malignant neoplasm of floor of mouth, unspecifiedKAccepted
C050Malignant neoplasm of hard palateKAccepted
C051Malignant neoplasm of soft palateKAccepted
C052Malignant neoplasm of uvulaKAccepted
C058Malignant neoplasm of overlapping sites of palateKAccepted
C059Malignant neoplasm of palate, unspecifiedKAccepted
C060Malignant neoplasm of cheek mucosaKAccepted
C061Malignant neoplasm of vestibule of mouthKAccepted
C062Malignant neoplasm of retromolar areaKAccepted
C0680Malignant neoplasm of ovrlp sites of unsp parts of mouthKAccepted
C0689Malignant neoplasm of overlapping sites of oth prt mouthKAccepted
C069Malignant neoplasm of mouth, unspecifiedNoneCannot group
C07Malignant neoplasm of parotid glandKAccepted
C080Malignant neoplasm of submandibular glandKAccepted
C081Malignant neoplasm of sublingual glandKAccepted
C089Malignant neoplasm of major salivary gland, unspecifiedNoneCannot group
C090Malignant neoplasm of tonsillar fossaKAccepted
C091Malig neoplasm of tonsillar pillar (anterior) (posterior)KAccepted
C098Malignant neoplasm of overlapping sites of tonsilKAccepted
C099Malignant neoplasm of tonsil, unspecifiedKAccepted
C100Malignant neoplasm of valleculaKAccepted
C101Malignant neoplasm of anterior surface of epiglottisKAccepted
C102Malignant neoplasm of lateral wall of oropharynxKAccepted
C103Malignant neoplasm of posterior wall of oropharynxKAccepted
C104Malignant neoplasm of branchial cleftKAccepted
C108Malignant neoplasm of overlapping sites of oropharynxKAccepted
C109Malignant neoplasm of oropharynx, unspecifiedKAccepted
C110Malignant neoplasm of superior wall of nasopharynxKAccepted
C111Malignant neoplasm of posterior wall of nasopharynxKAccepted
C112Malignant neoplasm of lateral wall of nasopharynxKAccepted
C113Malignant neoplasm of anterior wall of nasopharynxKAccepted
C118Malignant neoplasm of overlapping sites of nasopharynxKAccepted
C119Malignant neoplasm of nasopharynx, unspecifiedKAccepted
C12Malignant neoplasm of pyriform sinusKAccepted
C130Malignant neoplasm of postcricoid regionKAccepted
C131Malig neoplasm of aryepiglottic fold, hypopharyngeal aspectKAccepted
C132Malignant neoplasm of posterior wall of hypopharynxKAccepted
C138Malignant neoplasm of overlapping sites of hypopharynxKAccepted
C139Malignant neoplasm of hypopharynx, unspecifiedKAccepted
C140Malignant neoplasm of pharynx, unspecifiedKAccepted
C142Malignant neoplasm of Waldeyer's ringKAccepted
C148Malig neoplm of ovrlp sites of lip, oral cavity and pharynxKAccepted

Source: CMS HH PPS Grouper Software v07.1.26, effective 2026-04-01. 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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