C00.4 (Malignant neoplasm of lower lip, inner aspect) compared with D49.0 (Neoplasm of unspecified behavior of digestive system), from the official CMS tabular data. C00.4 and D49.0 name the same anatomical site (lip) with a different neoplasm behavior.
Same anatomical site, different neoplasm behavior.
Same site — unspecified behavior (lip)
The behavior documented for the site — malignant primary, secondary, carcinoma in situ, benign, uncertain or unspecified — decides which column of the neoplasm table, and therefore which code, applies.
Source: CMS Table of Neoplasms
Same site, different neoplasm behavior. C00.4 and D49.0 name the same anatomical site (lip) with a different neoplasm behavior.
From the CMS Table of Neoplasms: the behavior documented for that site — malignant primary, secondary, carcinoma in situ, benign, uncertain or unspecified — decides which column, and therefore which code, applies.
| C00.4Malignant neoplasm of lower lip, inner aspect | D49.0Neoplasm of unspecified behavior of digestive system | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | C00-D49 — Neoplasms | C00-D49 — Neoplasms |
| Definition | Malignant neoplasm of lower lip, inner aspect is a billable ICD-10-CM diagnosis code (C00.4). | Neoplasm of unspecified behavior of digestive system is a billable ICD-10-CM diagnosis code (D49.0). |
| Includes | Malignant neoplasm of buccal aspect of lower lip Malignant neoplasm of frenulum of lower lip Malignant neoplasm of mucosa of lower lip Malignant neoplasm of oral aspect of lower lip | 'growth' NOS neoplasm NOS new growth NOS tumor NOS |
| 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