Basal cell carcinoma of skin of right upper eyelid, including canthus
ICD-10 C44.1121 is a billable code used to indicate a diagnosis of basal cell carcinoma of skin of right upper eyelid, including canthus.
Basal cell carcinoma (BCC) is the most common form of skin cancer, arising from the basal cells in the epidermis. This specific code, C44.1121, refers to BCC located on the skin of the right upper eyelid, including the canthus, which is the corner of the eye where the upper and lower eyelids meet. BCC is typically associated with prolonged sun exposure, leading to mutations in the DNA of skin cells. Clinically, BCC may present as a pearly or waxy bump, a flat scar-like lesion, or a bleeding sore that does not heal. Given its location, BCC on the eyelid can pose significant risks to vision and eyelid function, necessitating careful surgical intervention. Surgical margins are critical in the treatment of BCC to ensure complete excision and minimize recurrence. Reconstruction may be required post-excision to restore the eyelid's appearance and function, often involving delicate techniques to maintain aesthetic and functional integrity. Regular follow-up is essential due to the potential for new lesions, particularly in patients with a history of skin cancer.
Detailed clinical notes on lesion characteristics, size, and location; surgical notes including margins and reconstruction details.
Diagnosis and treatment of BCC, Mohs micrographic surgery, follow-up for skin cancer surveillance.
Ensure clear documentation of the surgical approach and any complications or additional procedures performed.
Documentation of visual function, eyelid anatomy, and any impact on ocular health.
Management of eyelid tumors, reconstruction after excision, monitoring for recurrence.
Collaboration with dermatology for comprehensive care and accurate coding of procedures.
Used for excision of BCC on the right upper eyelid.
Document the size of the lesion, surgical margins, and any reconstruction performed.
Collaboration between dermatology and ophthalmology for optimal outcomes.
The primary treatment for basal cell carcinoma is surgical excision, which may include Mohs micrographic surgery for lesions in cosmetically sensitive areas like the eyelids.
Basal cell carcinoma typically presents as a pearly or waxy bump, a flat scar-like lesion, or a sore that does not heal. A biopsy is necessary for definitive diagnosis.
