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ICD-10 Guide
ICD-10 CodesC44.21

C44.21

Billable

Basal cell carcinoma of skin of ear and external auricular canal

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

Code Description

ICD-10 C44.21 is a billable code used to indicate a diagnosis of basal cell carcinoma of skin of ear and external auricular canal.

Key Diagnostic Point:

Basal cell carcinoma (BCC) is the most common form of skin cancer, arising from the basal cells in the epidermis. This specific code, C44.21, refers to BCC located on the skin of the ear and the external auricular canal. 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. Diagnosis is usually confirmed through a biopsy. Treatment often involves surgical excision, Mohs micrographic surgery, or topical therapies, depending on the size and location of the tumor. Surgical margins are critical in ensuring complete removal of the cancerous tissue, and reconstruction may be necessary to restore the ear's appearance and function post-surgery. Given the delicate nature of the ear and the potential for cosmetic concerns, careful planning and execution of surgical techniques are essential.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of tumor size and location
  • Variability in surgical techniques and reconstruction methods
  • Potential for multiple procedures related to treatment
  • Differentiation from other skin lesions

Audit Risk Factors

  • Inadequate documentation of surgical margins
  • Failure to document the size and type of BCC
  • Lack of clarity on the reconstruction performed
  • Improper coding of related procedures

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed descriptions of the lesion, biopsy results, and treatment plans.

Common Clinical Scenarios

Diagnosis and treatment of BCC, follow-up care, and management of surgical complications.

Billing Considerations

Ensure accurate documentation of the type of BCC and any associated procedures.

Otolaryngology

Documentation Requirements

Surgical notes detailing the excision and reconstruction of ear lesions.

Common Clinical Scenarios

Surgical intervention for BCC on the ear, management of post-operative care.

Billing Considerations

Focus on the functional and aesthetic outcomes of ear reconstruction.

Coding Guidelines

Inclusion Criteria

Use C44.21 When
  • Follow the official ICD
  • CM coding guidelines for neoplasms, ensuring accurate coding based on the site and type of cancer
  • Include documentation of the diagnosis, treatment, and any relevant patient history

Exclusion Criteria

Do NOT use C44.21 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

17311CPT Code

Mohs micrographic surgery

Clinical Scenario

Used for excising BCC on the ear with reconstruction.

Documentation Requirements

Document the extent of excision and reconstruction details.

Specialty Considerations

Dermatology and Otolaryngology should coordinate on reconstruction.

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. C44.21 provides a clear distinction for BCC located on the ear, which aids in treatment planning and resource allocation.

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. C44.21 provides a clear distinction for BCC located on the ear, which aids in treatment planning and resource allocation.

Reimbursement & Billing Impact

reimbursement processes. C44.21 provides a clear distinction for BCC located on the ear, which aids in treatment planning and resource allocation.

Resources

Clinical References

  • •
    American Academy of Dermatology

Coding & Billing References

  • •
    American Academy of Dermatology

Frequently Asked Questions

What is the primary cause of basal cell carcinoma?

The primary cause of basal cell carcinoma is prolonged exposure to ultraviolet (UV) radiation from the sun or tanning beds.