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C32.3 vs C49.A1

C32.3 (Malignant neoplasm of laryngeal cartilage) compared with C49.A1 (Gastrointestinal stromal tumor of esophagus), 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. C49.A1 carries an Excludes1 note covering C32.3: “larynx (C32.3)”

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

C32.3Malignant neoplasm of laryngeal cartilageC49.A1Gastrointestinal stromal tumor of esophagus
Billing statusBillableBillable
ClassificationC00-D49 — Neoplasms (C00-D49)C00-D49 — Neoplasms (C00-D49)
DefinitionMalignant neoplasm of laryngeal cartilage is a billable ICD-10-CM diagnosis code (C32.3).Gastrointestinal stromal tumor of esophagus is a billable ICD-10-CM diagnosis code (C49.A1).
Includes
malignant neoplasm of middle ear
malignant neoplasm of blood vessel
malignant neoplasm of bursa
malignant neoplasm of cartilage
malignant neoplasm of fascia
Use additional code
code to identify:
alcohol abuse and dependence (F10.-)
exposure to environmental tobacco smoke (Z77.22)

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