ICD-10 Code C04.1 – Malignant neoplasm of lateral floor of mouth (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Malignant neoplasm of lateral floor of mouth is C04.1.
2026 ICD-10-CM Diagnosis Code C04.1 – Malignant neoplasm of lateral floor of mouth

What it is

C04.1 identifies a malignant tumor arising in the lateral portion of the floor of the mouth. Use this code when documentation specifies that exact oral cavity subsite.

Clinical signs

Clinical features vary; refer to documentation. Commonly recorded findings include an oral mucosal mass, ulceration, pain, bleeding, or difficulty with chewing, swallowing, or speech.

When to use this code

Use C04.1 when the provider documents primary cancer of the lateral floor of mouth, including pathology or operative reports that name this site. It also fits follow-up notes that restate the confirmed diagnosis. If the record only says “oral cavity cancer” or another subsite, check documentation before assigning C04.1.

Do not use for

Do not use this code for cancers of other oral cavity sites, such as tongue, gum, palate, or other floor-of-mouth subsites. If the lesion is described as metastatic or unspecified, check documentation.

Coding tip

Code the exact anatomic site documented; laterality matters less than the named floor-of-mouth subsite.

Similar Posts

Leave a Reply

Your email address will not be published.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