{"code":"C14.2","type":"code","title":"Malignant neoplasm of Waldeyer's ring","codeAlso":[],"includes":[],"modern_v":"official26","codeFirst":[],"excludes1":["malignant neoplasm of oral cavity NOS (C06.9)"],"excludes2":[],"isBillable":true,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":true,"billableFy2027":true},"sibling_codes":["C14","C14.0","C14.8"],"inclusionTerms":[],"sibling_titles":{"code":"C14.8","title":"Malignant neoplasm of overlapping sites of lip, oral cavity and pharynx","isBillable":true},"useAdditionalCode":["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)"],"clinicalDefinition":"Malignant neoplasm of Waldeyer's ring is a billable ICD-10-CM diagnosis code (C14.2). Excludes1 (not coded here): malignant neoplasm of oral cavity NOS (C06.9). 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).","officialDefinition":"Malignant neoplasm of Waldeyer's ring is a billable ICD-10-CM diagnosis code (C14.2). Excludes1 (not coded here): malignant neoplasm of oral cavity NOS (C06.9). 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).","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":"","noteProvenance":{"malignant neoplasm of oral cavity NOS (C06.9)":"C14","code to identify:":"C14","alcohol abuse and dependence (F10.-)":"C14","exposure to environmental tobacco smoke (Z77.22)":"C14","exposure to tobacco smoke in the perinatal period (P96.81)":"C14","history of tobacco dependence (Z87.891)":"C14","occupational exposure to environmental tobacco smoke (Z57.31)":"C14","tobacco dependence (F17.-)":"C14","tobacco use (Z72.0)":"C14"},"hcc":{"mapped":true,"model":"CMS-HCC V28","paymentYear":"2026","categories":[{"hcc":"21","label":"Lymphoma and Other Cancers","family":"Neoplasm","suppresses":[{"hcc":"22","label":"Bladder, Colorectal, and Other Cancers"},{"hcc":"23","label":"Prostate, Breast, and Other Cancers and Tumors"}]}],"otherModels":[{"model":"CMS-HCC V22","hcc":"11"}]}}