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ICD-10 Guide
ICD-10 CodesC44.1391

C44.1391

Billable

Sebaceous cell carcinoma of skin of left upper eyelid, including canthus

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 C44.1391 is a billable code used to indicate a diagnosis of sebaceous cell carcinoma of skin of left upper eyelid, including canthus.

Key Diagnostic Point:

Sebaceous cell carcinoma is a rare and aggressive form of skin cancer that arises from sebaceous glands, which are responsible for producing oil that lubricates the skin and hair. This specific code pertains to sebaceous cell carcinoma located on the skin of the left upper eyelid, including the canthus, which is the corner of the eye where the upper and lower eyelids meet. The condition is characterized by the uncontrolled growth of sebaceous cells, leading to the formation of a tumor that may present as a nodular lesion, often with a yellowish hue due to the presence of sebaceous material. Risk factors for developing sebaceous cell carcinoma include chronic sun exposure, immunosuppression, and certain genetic syndromes. Surgical excision is the primary treatment, and it is crucial to achieve clear surgical margins to prevent recurrence. Reconstruction of the eyelid may be necessary post-excision to restore function and aesthetics, given the delicate nature of the eyelid area. Regular follow-up is essential to monitor for any signs of recurrence or metastasis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of location (left upper eyelid, including canthus)
  • Differentiation from other skin cancers
  • Need for detailed surgical documentation
  • Potential for reconstruction procedures

Audit Risk Factors

  • Inadequate documentation of surgical margins
  • Failure to specify the exact location of the carcinoma
  • Lack of follow-up documentation
  • Improper coding of reconstruction procedures

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed descriptions of the lesion, biopsy results, and surgical margins.

Common Clinical Scenarios

Diagnosis and treatment of skin cancers, including Mohs micrographic surgery.

Billing Considerations

Ensure clear documentation of the tumor's characteristics and location for accurate coding.

Oculoplastic Surgery

Documentation Requirements

Surgical notes detailing excision and reconstruction techniques.

Common Clinical Scenarios

Reconstruction of eyelid defects post-excision of skin cancers.

Billing Considerations

Document the functional and aesthetic outcomes of reconstruction.

Coding Guidelines

Inclusion Criteria

Use C44.1391 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the diagnosis and location
  • Include any relevant modifiers if applicable

Exclusion Criteria

Do NOT use C44.1391 When
  • Exclude codes for benign lesions or other skin cancers that do not meet the criteria for sebaceous cell carcinoma

Related ICD-10 Codes

Related CPT Codes

11600CPT Code

Excision, malignant skin lesion, face, ears, eyelids

Clinical Scenario

Used when excising sebaceous cell carcinoma from the eyelid.

Documentation Requirements

Document the size of the lesion and margins excised.

Specialty Considerations

Ensure the procedure is performed by a qualified surgeon.

67904CPT Code

Repair of eyelid defect

Clinical Scenario

Used for reconstructive surgery after excision of the carcinoma.

Documentation Requirements

Detail the type of repair performed.

Specialty Considerations

Document the functional outcomes post-repair.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of skin cancers, including sebaceous cell carcinoma, which aids in better tracking and treatment outcomes. This specificity helps in research and understanding the epidemiology of skin cancers.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of skin cancers, including sebaceous cell carcinoma, which aids in better tracking and treatment outcomes. This specificity helps in research and understanding the epidemiology of skin cancers.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of skin cancers, including sebaceous cell carcinoma, which aids in better tracking and treatment outcomes. This specificity helps in research and understanding the epidemiology of skin cancers.

Resources

Clinical References

  • •
    American Academy of Dermatology
  • •
    National Cancer Institute - Skin Cancer

Coding & Billing References

  • •
    American Academy of Dermatology
  • •
    National Cancer Institute - Skin Cancer

Frequently Asked Questions

What is sebaceous cell carcinoma?

Sebaceous cell carcinoma is a rare type of skin cancer that originates from sebaceous glands. It can be aggressive and is often treated with surgical excision.

How is sebaceous cell carcinoma diagnosed?

Diagnosis typically involves a physical examination followed by a biopsy to confirm the presence of malignant cells.

What are the treatment options for sebaceous cell carcinoma?

Treatment usually involves surgical excision with clear margins, and reconstruction may be necessary depending on the extent of the tumor.