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C31.3 vs D14.0

C31.3 (Malignant neoplasm of sphenoid sinus) compared with D14.0 (Benign neoplasm of middle ear, nasal cavity and accessory sinuses), from the official CMS tabular data. C31.3 and D14.0 name the same anatomical site (sinus) with a different neoplasm behavior.

Relationship

Informational

Neoplasm table relationship

D14.0
Benign neoplasm of middle ear, nasal cavity and accessory sinuses
C31.3
Malignant neoplasm of sphenoid sinus

Same anatomical site, different neoplasm behavior.

Same site — primary malignancy (sinus)

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. D14.0 and C31.3 name the same anatomical site (sinus) 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.

Side by side

C31.3Malignant neoplasm of sphenoid sinusD14.0Benign neoplasm of middle ear, nasal cavity and accessory sinuses
Billing statusBillableBillable
ClassificationC00-D49 — NeoplasmsC00-D49 — Neoplasms
DefinitionMalignant neoplasm of sphenoid sinus is a billable ICD-10-CM diagnosis code (C31.3).Benign neoplasm of middle ear, nasal cavity and accessory sinuses is a billable ICD-10-CM diagnosis code (D14.0).
Includes
malignant neoplasm of middle ear
Benign neoplasm of cartilage of nose

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