ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesC44.69

C44.69

Billable

Other specified malignant neoplasm of skin of upper limb, including shoulder

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

Code Description

ICD-10 C44.69 is a billable code used to indicate a diagnosis of other specified malignant neoplasm of skin of upper limb, including shoulder.

Key Diagnostic Point:

C44.69 refers to other specified malignant neoplasms of the skin located on the upper limb, including the shoulder. This category encompasses various types of skin cancers that do not fall under more specific classifications such as melanoma or basal cell carcinoma. Skin cancers are often linked to prolonged sun exposure, which can lead to DNA damage in skin cells. The upper limb, including the shoulder, is particularly susceptible to these malignancies due to its frequent exposure to sunlight. Surgical intervention is typically required for treatment, which may involve excision of the tumor along with a margin of healthy tissue to ensure complete removal. Reconstruction may be necessary depending on the size and location of the excised area, and it is crucial to document the surgical margins to confirm that the cancer has been adequately addressed. Accurate coding for C44.69 is essential for proper treatment planning and reimbursement, as it reflects the complexity and potential severity of the condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of skin cancer types that may fall under this code
  • Need for precise documentation of surgical margins
  • Potential for reconstruction procedures post-excision
  • Differentiation from other skin cancer codes

Audit Risk Factors

  • Inadequate documentation of tumor type and characteristics
  • Failure to document surgical margins clearly
  • Misclassification of skin cancer type
  • Lack of details regarding reconstruction procedures

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed descriptions of the tumor type, size, location, and surgical margins.

Common Clinical Scenarios

Diagnosis and treatment of skin lesions, excision of malignant neoplasms, and follow-up care.

Billing Considerations

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

Oncology

Documentation Requirements

Comprehensive treatment plans, including chemotherapy or radiation therapy if applicable.

Common Clinical Scenarios

Management of skin cancer patients, including staging and treatment options.

Billing Considerations

Document any multidisciplinary approaches to treatment and follow-up care.

Coding Guidelines

Inclusion Criteria

Use C44.69 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when the malignancy is confirmed and documented
  • Include details about the tumor's characteristics and treatment in the medical record

Exclusion Criteria

Do NOT use C44.69 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

11600CPT Code

Excision, malignant skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm

Clinical Scenario

Used when excising larger malignant lesions on the upper limb.

Documentation Requirements

Document the size of the lesion and the surgical margins.

Specialty Considerations

Dermatologists should ensure accurate coding based on the excised diameter.

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. C44.69 provides a means to capture a broader range of malignant neoplasms that were previously grouped together in ICD-9.

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. C44.69 provides a means to capture a broader range of malignant neoplasms that were previously grouped together in ICD-9.

Reimbursement & Billing Impact

reimbursement processes. C44.69 provides a means to capture a broader range of malignant neoplasms that were previously grouped together in ICD-9.

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

What types of skin cancers are included under C44.69?

C44.69 includes various specified malignant neoplasms of the skin that do not fall under more specific categories like melanoma or basal cell carcinoma. This may include squamous cell carcinoma and other less common skin malignancies.