Squamous cell carcinoma of skin of right upper eyelid, including canthus
ICD-10 C44.1221 is a billable code used to indicate a diagnosis of squamous cell carcinoma of skin of right upper eyelid, including canthus.
Squamous cell carcinoma (SCC) of the skin is a malignant tumor that arises from keratinocytes, the predominant cell type in the epidermis. This specific code, C44.1221, refers to SCC located on the right upper eyelid, including the canthus, which is the corner of the eye where the upper and lower eyelids meet. SCC is often associated with chronic sun exposure, making it more prevalent in individuals with fair skin or those who have had significant UV exposure over their lifetime. The clinical presentation may include a persistent, non-healing sore, a raised, scaly lesion, or a wart-like growth. Diagnosis typically involves a biopsy to confirm the presence of malignant cells. Treatment options may include surgical excision, Mohs micrographic surgery, or radiation therapy, depending on the tumor's size, depth, and location. Surgical margins are critical in ensuring complete removal of the cancerous tissue, and reconstruction may be necessary to restore the eyelid's appearance and function post-surgery. Given the eyelid's delicate structure, careful planning and execution of surgical techniques are essential to minimize complications and optimize cosmetic outcomes.
Detailed clinical notes including lesion size, location, and histopathology results.
Diagnosis and treatment of skin cancers, including SCC and BCC.
Ensure accurate coding of surgical procedures and follow-up care.
Documentation of eyelid anatomy, surgical approach, and any reconstructive procedures performed.
Management of eyelid tumors and reconstruction after excision.
Focus on preserving eyelid function and aesthetics post-surgery.
Used when excising SCC from the right upper eyelid.
Document size of the lesion, margins, and any reconstruction performed.
Ensure that the procedure is performed by a qualified specialist.
Documenting surgical margins is crucial to ensure that all cancerous tissue has been removed, reducing the risk of recurrence and ensuring appropriate follow-up care.
Chronic sun exposure is a significant risk factor for developing squamous cell carcinoma, particularly in fair-skinned individuals, as UV radiation can cause DNA damage in skin cells.
