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ICD-10 Coding for Laryngeal Carcinoma(C32.0, C32.1, C32.8)

Complete ICD-10-CM coding and documentation guide for Laryngeal Carcinoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Laryngeal CancerCancer of the Larynx

Related ICD-10 Code Ranges

Complete code families applicable to Laryngeal Carcinoma

C32.0-C32.9Primary Range

Malignant neoplasm of larynx

This range includes all specific sites of laryngeal carcinoma, such as glottis, supraglottis, and subglottis.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
C32.0Malignant neoplasm of glottisUse when the tumor is confined to the glottis.
  • Biopsy confirming squamous cell carcinoma
  • Imaging showing tumor confined to glottis
C32.1Malignant neoplasm of supraglottisUse when the tumor involves the supraglottis.
  • Biopsy confirming squamous cell carcinoma
  • Imaging showing tumor in supraglottis
C32.8Malignant neoplasm of overlapping sites of larynxUse when the tumor spans multiple laryngeal sites.
  • Operative report documenting tumor crossing subsites

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for laryngeal carcinoma

Essential facts and insights about Laryngeal Carcinoma

The ICD-10 code for laryngeal carcinoma varies by site: C32.0 for glottis, C32.1 for supraglottis, and C32.8 for overlapping sites.

Primary ICD-10-CM Codes for laryngeal carcinoma

Malignant neoplasm of glottis
Billable Code

Decision Criteria

clinical Criteria

  • Tumor confined to vocal cords

Applicable To

  • Tumor localized to vocal cords

Excludes

  • Supraglottic involvement

Clinical Validation Requirements

  • Biopsy confirming squamous cell carcinoma
  • Imaging showing tumor confined to glottis

Code-Specific Risks

  • Misclassification if tumor extends beyond glottis

Coding Notes

  • Ensure documentation specifies glottic involvement.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Nicotine dependence, cigarettes

F17.210
Use if there is documented tobacco use.

Personal history of tobacco use

Z87.891
Use if there is a history of tobacco use.

Exposure to environmental tobacco smoke

Z77.22
Use if there is documented exposure.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Malignant neoplasm of supraglottis

C32.1
Use C32.1 if the tumor involves the supraglottis.

Malignant neoplasm of glottis

C32.0
Use C32.0 if the tumor is confined to the glottis.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Laryngeal Carcinoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C32.0.

Impact

Clinical: Misses risk factor documentation., Regulatory: Non-compliance with coding standards., Financial: Potential loss of reimbursement for related codes.

Mitigation Strategy

Include tobacco use history in patient intake forms.

Impact

Reimbursement: May lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.

Mitigation Strategy

Query provider for specific site involvement.

Impact

Audits may focus on the specificity of documented tumor sites.

Mitigation Strategy

Ensure detailed documentation of tumor location.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Laryngeal Carcinoma, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Laryngeal Carcinoma

Use these documentation templates to ensure complete and accurate documentation for Laryngeal Carcinoma. These templates include all required elements for proper coding and billing.

Laryngeal carcinoma with supraglottic involvement

Specialty: Otolaryngology

Required Elements

  • Tumor site
  • Histology
  • Vocal cord mobility
  • Cartilage invasion

Example Documentation

Moderately differentiated squamous cell carcinoma of the supraglottis, involving the epiglottis and aryepiglottic fold. Tumor measures 3.0 cm. No cartilage invasion.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Laryngeal cancer.
Good Documentation Example
Squamous cell carcinoma of the supraglottis, involving the epiglottis.
Explanation
The good example specifies the tumor site and histology, improving coding accuracy.

Need help with ICD-10 coding for Laryngeal Carcinoma? Ask your questions below.

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