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ICD-10 Guide
ICD-10 CodesC44.60

C44.60

Billable

Unspecified malignant neoplasm of skin of upper limb, including shoulder

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

Code Description

ICD-10 C44.60 is a billable code used to indicate a diagnosis of unspecified malignant neoplasm of skin of upper limb, including shoulder.

Key Diagnostic Point:

C44.60 refers to an unspecified malignant neoplasm of the skin located on the upper limb, including the shoulder. This code is used when a patient presents with a skin cancer diagnosis that does not specify the exact type of malignancy, such as melanoma or non-melanoma skin cancers. Skin cancers are often associated with prolonged sun exposure, which can lead to DNA damage in skin cells. The upper limb, including the shoulder, is particularly susceptible to UV radiation, making it a common site for skin malignancies. Treatment typically involves surgical excision, and the margins of the excised tissue must be carefully evaluated to ensure complete removal of cancerous cells. Reconstruction may be necessary depending on the size and location of the excised lesion. Accurate coding is essential for proper treatment planning and reimbursement, as well as for tracking the incidence of skin cancers in specific populations.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of skin cancer types
  • Need for precise surgical margin assessment
  • Potential for multiple skin lesions requiring differentiation
  • Variability in treatment approaches and reconstruction needs

Audit Risk Factors

  • Inadequate documentation of the type of malignancy
  • Failure to document surgical margins
  • Inconsistent coding practices among providers
  • Lack of follow-up documentation post-surgery

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed descriptions of lesions, biopsy results, and treatment plans are essential.

Common Clinical Scenarios

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

Billing Considerations

Ensure clear documentation of the type of malignancy and surgical margins.

Oncology

Documentation Requirements

Comprehensive treatment plans, including chemotherapy or radiation therapy details.

Common Clinical Scenarios

Management of advanced skin cancers and coordination of care with dermatology.

Billing Considerations

Document any systemic treatments or referrals to ensure accurate coding.

Coding Guidelines

Inclusion Criteria

Use C44.60 When
  • According to ICD
  • 10 guidelines, C44
  • 60 should be used when the specific type of malignant neoplasm is not documented
  • Coders should ensure that the diagnosis is confirmed and that the documentation supports the use of this unspecified code

Exclusion Criteria

Do NOT use C44.60 When
  • Exclusion criteria include cases where a more specific code is available

Related ICD-10 Codes

Related CPT Codes

17311CPT Code

Excision, malignant skin lesion

Clinical Scenario

Used when excising a malignant skin lesion on the upper limb.

Documentation Requirements

Document the size of the lesion and the margins obtained.

Specialty Considerations

Dermatologists should ensure clear documentation of the lesion type and surgical approach.

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, but C44.60 remains a challenge due to its unspecified nature. Coders must ensure accurate documentation to avoid misclassification and ensure appropriate reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of skin cancers, but C44.60 remains a challenge due to its unspecified nature. Coders must ensure accurate documentation to avoid misclassification and ensure appropriate reimbursement.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

When should I use C44.60?

Use C44.60 when a patient has a malignant neoplasm of the skin on the upper limb or shoulder, and the specific type of malignancy is not documented.