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C04.0 vs D00.06

C04.0 (Malignant neoplasm of anterior floor of mouth) compared with D00.06 (Carcinoma in situ of floor of mouth), from the official CMS tabular data. C04.0 and D00.06 name the same anatomical site (mouth) with a different neoplasm behavior. MedCoder-derived

Relationship

Informational

Neoplasm table relationship

C04.0
Malignant neoplasm of anterior floor of mouth
D00.06
Carcinoma in situ of floor of mouth

Same anatomical site, different neoplasm behavior.

Same site — carcinoma in situ (mouth)

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

Can these codes be reported together?

Same site, different neoplasm behavior. C04.0 and D00.06 name the same anatomical site (mouth) with a different neoplasm behavior.

From the CMS/CDC 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.

Side by side

C04.0Malignant neoplasm of anterior floor of mouthD00.06Carcinoma in situ of floor of mouth
Billing statusBillableBillable
ClassificationC00-D49 — NeoplasmsC00-D49 — Neoplasms
DefinitionMalignant neoplasm of anterior floor of mouth is a billable ICD-10-CM diagnosis code (C04.0).Carcinoma in situ of floor of mouth is a billable ICD-10-CM diagnosis code (D00.06).
Includes
Malignant neoplasm of anterior to the premolar-canine junction
Bowen's disease
erythroplasia
grade III intraepithelial neoplasia
Queyrat's erythroplasia
Use additional code
code to identify:
alcohol abuse and dependence (F10.-)
history of tobacco dependence (Z87.891)
code to identify:
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)

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