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ICD-10 Guide
ICD-10 CodesC44.1392

C44.1392

Billable

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

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

Code Description

ICD-10 C44.1392 is a billable code used to indicate a diagnosis of sebaceous cell carcinoma of skin of left lower eyelid, including canthus.

Key Diagnostic Point:

Sebaceous cell carcinoma is a rare and aggressive form of skin cancer that originates 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 left lower eyelid, including the canthus, which is the corner of the eye where the upper and lower eyelids meet. Patients with this type of carcinoma may present with a nodular lesion that can be ulcerated or crusted, often mistaken for benign conditions. Risk factors include chronic sun exposure, which can lead to DNA damage in skin cells, and a history of skin cancer. Surgical excision is the primary treatment, and it is crucial to achieve clear surgical margins to prevent recurrence. Reconstruction may be necessary post-excision to restore the eyelid's function and appearance, often requiring specialized techniques due to the delicate nature of the eyelid area. Regular follow-up is essential for monitoring potential recurrence or metastasis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Inadequate documentation of surgical margins
  • Failure to specify the exact location of the carcinoma
  • Lack of follow-up documentation post-surgery
  • Misclassification of the type of skin cancer

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed clinical notes including lesion size, location, and histopathology results.

Common Clinical Scenarios

Diagnosis and treatment of skin cancers, including excision and reconstruction.

Billing Considerations

Ensure accurate coding of margins and any additional procedures performed.

Oculoplastic Surgery

Documentation Requirements

Surgical reports detailing the procedure, margins, and reconstruction techniques used.

Common Clinical Scenarios

Reconstruction of eyelid defects post-excision of skin cancers.

Billing Considerations

Documentation must reflect the complexity of the reconstruction and any complications.

Coding Guidelines

Inclusion Criteria

Use C44.1392 When
  • Follow the official ICD
  • CM guidelines for coding neoplasms, ensuring to document the specific site and type of carcinoma
  • Include any relevant surgical procedures and follow
  • up care in the coding

Exclusion Criteria

Do NOT use C44.1392 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

11420CPT Code

Excision, malignant skin lesion

Clinical Scenario

Used when excising sebaceous cell carcinoma from the eyelid.

Documentation Requirements

Document size, location, and margins of the excised lesion.

Specialty Considerations

Oculoplastic surgeons may need to document reconstruction details.

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, improving the accuracy of data collection and reimbursement processes. C44.1392 provides detailed information about the location and type of carcinoma, which is essential for treatment planning and follow-up.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of skin cancers, improving the accuracy of data collection and reimbursement processes. C44.1392 provides detailed information about the location and type of carcinoma, which is essential for treatment planning and follow-up.

Reimbursement & Billing Impact

reimbursement processes. C44.1392 provides detailed information about the location and type of carcinoma, which is essential for treatment planning and follow-up.

Resources

Clinical References

  • •
    American Academy of Dermatology
  • •
    American Society of Plastic Surgeons

Coding & Billing References

  • •
    American Academy of Dermatology
  • •
    American Society of Plastic Surgeons

Frequently Asked Questions

What is sebaceous cell carcinoma?

Sebaceous cell carcinoma is a rare skin cancer that originates from sebaceous glands, often presenting as a nodular lesion. It is aggressive and requires careful management.

How is sebaceous cell carcinoma treated?

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