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C10 ICD-10-CM Code: Malignant neoplasm of oropharynx

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FY 2026 Apr update / Neoplasms (C00-D49) / Malignant neoplasms of lip, oral cavity and pharynx (C00-C14)

C10

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Malignant neoplasm of oropharynx

Malignant neoplasm of oropharynx

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
C1Malignant neoplasms of lip, oral cavity and pharynx (C00-C14)
C10Malignant neoplasm of oropharynx

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for C10 in this effective period.

Excludes 2

Official
  • malignant neoplasm of tonsil (C09.-)

Related Child Codes

Official
C10.0Malignant neoplasm of vallecula
C10.1Malignant neoplasm of anterior surface of epiglottis
C10.2Malignant neoplasm of lateral wall of oropharynx
C10.3Malignant neoplasm of posterior wall of oropharynx
C10.4Malignant neoplasm of branchial cleft

Includes

Official

ICD-10-CM does not list Includes notes for C10 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for C10 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for C10 in this effective period.

Use Additional

Official
  • code to identify:
  • alcohol abuse and dependence (F10.-)
  • exposure to environmental tobacco smoke (Z77.22)
  • exposure to tobacco smoke in the perinatal period (P96.81)
  • history of tobacco dependence (Z87.891)

Code Also

Official

ICD-10-CM does not list Code Also instructions for C10 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

C10 is the ICD-10-CM diagnosis code for malignant neoplasm of oropharynx. C10 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering malignant neoplasms of lip, oral cavity and pharynx (c00-c14).

Header codes like C10 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at C10's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for C10 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 2, Not included here, may code separately

  • malignant neoplasm of tonsil (C09.-)

Use Additional Code

  • code to identify:
  • alcohol abuse and dependence (F10.-)
  • exposure to environmental tobacco smoke (Z77.22)
  • exposure to tobacco smoke in the perinatal period (P96.81)
  • history of tobacco dependence (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)

Child Codes

Code Hierarchy

C10Malignant neoplasm of oropharynx
C10Malignant neoplasm of oropharynx

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