ICD-10 Code C03.0 – Malignant neoplasm of upper gum (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Malignant neoplasm of upper gum is C03.0.
2026 ICD-10-CM Diagnosis Code C03.0 – Malignant neoplasm of upper gum

What it is

C03.0 identifies a malignant tumor arising in the upper gum, or maxillary gingiva. Use it when the provider documents cancer of the upper gum specifically, rather than a broader oral cavity site.

Clinical signs

Clinical features vary; refer to documentation. Commonly recorded findings may include a persistent gingival mass, ulceration, bleeding, pain, or loosening of adjacent teeth, but you should code only what is documented.

When to use this code

Use C03.0 when the record clearly states malignant neoplasm of the upper gum, maxillary gingiva, or an equivalent term. It also fits when pathology, imaging, or operative notes confirm the site as the upper gum. If the site is described more generally, check documentation before assigning this code.

Do not use for

Do not use this code for benign gingival lesions, inflammatory gum disease, or malignancies documented in another oral cavity site. If the documentation says “gum cancer” without upper gum location, check documentation.

Coding tip

Capture the exact anatomic site from pathology or the final provider diagnosis before coding.

Similar Posts

Leave a Reply

Your email address will not be published. Required fields are marked *