Squamous cell carcinoma of skin of left eyelid, including canthus
ICD-10 C44.129 is a billable code used to indicate a diagnosis of squamous cell carcinoma of skin of left eyelid, including canthus.
Squamous cell carcinoma (SCC) of the skin is a malignant tumor arising from keratinocytes, the predominant cell type in the epidermis. When located on the left eyelid, including the canthus, it poses unique challenges due to the delicate nature of the eyelid and the potential for functional and cosmetic impairment. SCC is often associated with chronic sun exposure, particularly in fair-skinned individuals, and can present as a persistent, non-healing ulcer, a scaly patch, or a firm nodule. Diagnosis typically involves a biopsy, and treatment options may include surgical excision, Mohs micrographic surgery, or topical chemotherapy, 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 eyelid function and appearance. Given the anatomical complexity of the eyelid, reconstructive techniques may involve local flaps or grafts to achieve optimal cosmetic outcomes while preserving eyelid function.
Detailed clinical notes including lesion size, location, and treatment plan.
Diagnosis and treatment of skin cancers, including SCC and basal cell carcinoma.
Ensure accurate coding of margins and any reconstructive procedures performed.
Documentation of functional impairment and cosmetic concerns related to eyelid lesions.
Management of eyelid tumors and reconstruction post-excision.
Collaboration with dermatology for accurate coding of skin cancers affecting the eyelid.
Used for excision of SCC on the eyelid with reconstruction.
Document the size of the lesion, margins, and reconstruction details.
Collaboration between dermatology and ophthalmology for optimal outcomes.
Specifying the eyelid location is crucial for accurate coding, as it impacts treatment options, surgical approaches, and potential complications.
