ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 C43.0

Billable / Specific HCC v28: 12

Malignant melanoma of lip

C43
Block
0
Synonyms
1,718
LCDs
73
Payer Policies
64
Linked CPTs

About ICD-10-CM C43.0

ICD-10-CM code C43.0 represents Malignant melanoma of lip. This is a billable/specific code in the Neoplasms chapter (block C43). The 2026 edition of ICD-10-CM C43.0 became effective on October 1, 2025.

Coding Tips for C43.0

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

HCC capture: document with MEAT each year

C43.0 is a CMS-HCC v28 risk-adjustment code (category 12). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.

Type 1 Excludes

Pure excludes, these codes can never be coded together with C43.0. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • malignant neoplasm of vermilion border of lip (C00.0-C00.2)

Medicare Advantage HCC Impact

CMS-HCC v28 (current)
Category 12
ESRD-HCC
Category 12
RxHCC (Part D)
Category 12

Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.

Medicare LCD Coverage for C43.0

Local Coverage Determinations (LCDs) from CMS MACs that list C43.0 as a covered diagnosis.

1,718 LCDs

Showing top 10 of 1,718 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74170 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74177 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74160 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74178 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74150 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72194 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74176 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72192 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72193 →
CMS LCD: Billing and Coding: MolDX: Non-Next Generation Sequencing Targeted Molecular Panel Tests for Predictive Testing in Cancer
Article ID: 60240, Effective: , 680 covered, 0 non-covered
CPT 81479 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing C43.0.

73 policies

2 Aetna

Aldesleukin (Proleukin) - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0024
Positron Emission Tomography (PET) - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0071

1 Cigna

Transthoracic Echocardiography in Children - (0523)
Policy ID: MM_0523

5 Medicare

Billing and Coding: Paclitaxel (e.g., Taxol�/Abraxane �)
Policy ID: ART-52450
Oral Anticancer Drugs - Policy Article
Policy ID: ART-52479
Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
Policy ID: ART-52480
Billing and Coding: Biomarkers for Oncology
Policy ID: ART-52986
Billing and Coding: Mohs Micrographic Surgery (MMS)
Policy ID: ART-53883

CPT Codes Commonly Billed with C43.0

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

64 linkages
  • 17000 Destruction of skin lesion Dermatology
  • 17110 Excision of skin lesion Dermatology
  • 17003 Destruction of skin lesion with cryotherapy Dermatology
  • 17312 CMS LCD: Billing and Coding: Mohs Micrographic Surgery CMS LCD
  • 17313 CMS LCD: Billing and Coding: Mohs Micrographic Surgery CMS LCD
  • 17314 CMS LCD: Billing and Coding: Mohs Micrographic Surgery CMS LCD
  • 17315 CMS LCD: Billing and Coding: Mohs Micrographic Surgery CMS LCD
  • 81210 CMS LCD: Billing and Coding: MolDX: FDA-Approved BRAF Tests CMS LCD
  • 17272 CMS LCD: Billing and Coding: Destruction of Malignant Skin Lesions CMS LCD
  • 17280 CMS LCD: Billing and Coding: Destruction of Malignant Skin Lesions CMS LCD

Convert C43.0 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
C43.0 1720 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 C43.0, Billing FAQ

Is ICD-10 code C43.0 billable? +

Yes, C43.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for C43.0? +

Type 1 Excludes (never code together with C43.0): malignant neoplasm of vermilion border of lip (C00.0-C00.2)

Does C43.0 affect Medicare Advantage HCC risk adjustment? +

Yes. C43.0 maps to CMS-HCC v28 category 12. Capture this diagnosis annually for accurate Medicare Advantage risk score.

What CPT codes are commonly billed with C43.0? +

Procedures frequently paired with C43.0 include: 17000, 17110, 17003, 17312, 17313.

What ICD-9 codes does C43.0 map to? +

Per CMS GEMs, C43.0 maps to ICD-9 codes: 1720. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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