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ICD-10 Guide
ICD-10 CodesC44.22

C44.22

Billable

Squamous cell carcinoma of skin of ear and external auricular canal

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

Code Description

ICD-10 C44.22 is a billable code used to indicate a diagnosis of squamous cell carcinoma of skin of ear and external auricular canal.

Key Diagnostic Point:

Squamous cell carcinoma (SCC) of the skin of the ear and external auricular canal is a malignant neoplasm that arises from the squamous cells in the epidermis of these areas. This type of skin cancer is often associated with chronic sun exposure, which can lead to DNA damage in skin cells, resulting in uncontrolled cell growth. The ear, being a prominent and exposed area, is particularly susceptible to UV radiation, making SCC a common diagnosis in dermatology. Clinically, patients may present with a persistent, non-healing ulcer, a scaly patch, or a wart-like growth on the ear or canal. Diagnosis is typically confirmed through a biopsy. Treatment options include surgical excision, Mohs micrographic surgery, and in some cases, radiation therapy. Surgical margins are critical in ensuring complete removal of the cancerous tissue, and reconstruction may be necessary depending on the extent of the excision. Post-operative care and monitoring for recurrence are essential components of management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from other skin cancers such as basal cell carcinoma
  • Need for precise documentation of surgical margins
  • Variability in treatment approaches based on tumor size and location
  • Potential for reconstruction procedures post-excision

Audit Risk Factors

  • Inadequate documentation of surgical margins
  • Failure to document the extent of sun exposure
  • Incorrect coding of the procedure performed
  • Lack of follow-up documentation for recurrence

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed clinical notes including lesion size, location, and characteristics, as well as treatment plans.

Common Clinical Scenarios

Diagnosis and treatment of SCC, follow-up for recurrence, and management of post-surgical complications.

Billing Considerations

Ensure accurate documentation of the biopsy results and surgical margins.

Otolaryngology

Documentation Requirements

Comprehensive records of ear examinations, imaging studies, and surgical interventions.

Common Clinical Scenarios

Management of SCC in the external ear canal, including surgical excision and reconstruction.

Billing Considerations

Document any functional impairments resulting from the cancer or its treatment.

Coding Guidelines

Inclusion Criteria

Use C44.22 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the diagnosis, treatment, and any associated conditions
  • Include details about the surgical procedure and margins

Exclusion Criteria

Do NOT use C44.22 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

17311CPT Code

Excision, malignant skin lesion

Clinical Scenario

Used when excising SCC from the ear.

Documentation Requirements

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

Specialty Considerations

Dermatology and Otolaryngology may have specific protocols for excision.

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.

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.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    American Academy of Dermatology

Coding & Billing References

  • •
    American Academy of Dermatology

Frequently Asked Questions

What are the common treatments for C44.22?

Common treatments include surgical excision, Mohs micrographic surgery, and in some cases, radiation therapy, depending on the tumor's size and location.