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Compare/C00 vs C43.0

C00 vs C43.0

C00 (Malignant neoplasm of lip) compared with C43.0 (Malignant melanoma of lip), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. C00 carries an Excludes1 note covering C43.0: “malignant melanoma of lip (C43.0)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

C00Malignant neoplasm of lipC43.0Malignant melanoma of lip
Billing statusNon-billable header

Report instead: C00.0, C00.1, C00.2, C00.3, C00.4

Billable
ClassificationC00-D49 — Neoplasms (C00-D49)C00-D49 — Neoplasms (C00-D49)
DefinitionMalignant neoplasm of lip is a non-billable ICD-10-CM category code (C00).Malignant melanoma of lip is a billable ICD-10-CM diagnosis code (C43.0).
Use additional code
code to identify:
alcohol abuse and dependence (F10.-)
history of tobacco dependence (Z87.891)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources