Basal cell carcinoma of skin of left eyelid, including canthus
ICD-10 C44.119 is a billable code used to indicate a diagnosis of basal cell carcinoma of skin of left 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, C44.119, refers to BCC located on the skin of the left 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, making it more prevalent in individuals with fair skin or those who have had significant UV exposure over their lifetime. Clinically, BCC may present as a pearly or waxy bump, a flat, flesh-colored lesion, or a scar-like area. Surgical excision is the primary treatment, with the goal of achieving clear surgical margins to minimize recurrence. Reconstruction may be necessary depending on the size and location of the excised lesion, particularly in cosmetically sensitive areas like the eyelids. Proper coding requires detailed documentation of the lesion's size, location, and the surgical approach taken, as well as any reconstruction performed.
Detailed descriptions of the lesion, treatment plan, and surgical notes.
Diagnosis and treatment of BCC, Mohs micrographic surgery, and post-operative care.
Ensure clear documentation of margins and any reconstruction performed.
Documentation of ocular involvement and any functional impairments.
Management of eyelid tumors, surgical interventions, and cosmetic considerations.
Focus on the impact of the lesion on vision and eyelid function.
Used for excising BCC on the eyelid with reconstruction.
Document the size of the lesion, surgical margins, and reconstruction details.
Dermatologists and ophthalmologists should coordinate on eyelid reconstruction.
Documenting surgical margins is crucial to ensure complete excision of the cancerous tissue, reducing the risk of recurrence and ensuring appropriate follow-up care.