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ICD-10-CM 2027 diagnosis code

C09Malignant neoplasm of tonsil

Not billable — use a more specific code

C09 is a header code, so it can't be reported by itself. Choose one of the 4 more specific codes beneath it.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About C09

C09 is the ICD-10-CM diagnosis code for malignant neoplasm of tonsil. It belongs to block C00-C14 (malignant neoplasms of lip, oral cavity and pharynx) and chapter 2 (neoplasms). It is a header code, so it can't be reported by itself; one of its 4 subcodes must be used instead.

To report this condition, pick the subcode that matches the documentation: C09.0 (lar fossa), C09.1 (lar pillar (anterior) (posterior)), C09.8 (tonsil) and C09.9 (unspecified).

The conditions in its Excludes2 note aren't part of C09, but may be coded alongside it if the patient has both: malignant neoplasm of lingual tonsil (C02.4) and malignant neoplasm of pharyngeal tonsil (C11.1).

Use an additional code to identify: alcohol abuse and dependence (F10.-), exposure to environmental tobacco smoke (Z77.22), exposure to tobacco smoke in the perinatal period (P96.81), history of tobacco dependence (Z87.891), occupational exposure to environmental tobacco smoke (Z57.31) and 2 more.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Specific codes under C09

Coding notes

Excludes2Not included here — may be reported together if both conditions exist
  • malignant neoplasm of lingual tonsil (C02.4)
  • malignant neoplasm of pharyngeal tonsil (C11.1)
Use additional codeAdd a secondary code to fully describe the condition
  • code to identify:
  • alcohol abuse and dependence (F10.-)
  • exposure to environmental tobacco smoke (Z77.22)
  • exposure to tobacco smoke in the perinatal period (P96.81)
  • history of tobacco dependence (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)

Notes that apply from higher levels

Instructions written at a parent level also apply to C09.

Broader instructions also apply from Chapter 2: Neoplasms.

Codes whose notes reference C09

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about C09

Is C09 billable?

No. C09 is a header code. Report one of its more specific subcodes instead.