Basal cell carcinoma of skin of lower limb, including hip
ICD-10 C44.71 is a billable code used to indicate a diagnosis of basal cell carcinoma of skin of lower limb, including hip.
Basal cell carcinoma (BCC) is the most common form of skin cancer, primarily arising from the basal cells in the epidermis. This malignancy is often associated with chronic sun exposure, particularly in fair-skinned individuals. BCC of the lower limb, including the hip, can present as a pearly or waxy bump, a flat, flesh-colored lesion, or a scar-like area. It is typically slow-growing and rarely metastasizes, but it can cause significant local tissue destruction if left untreated. Surgical excision is the most common treatment, with the goal of achieving clear surgical margins to minimize recurrence. Reconstruction may be necessary depending on the size and location of the excised lesion, particularly in cosmetically sensitive areas. Proper documentation of the tumor size, location, and margins is essential for accurate coding and reimbursement. Additionally, the patient's history of sun exposure and any prior skin cancers should be noted to provide context for the diagnosis and treatment plan.
Detailed descriptions of the lesion, including size, location, and histological findings.
Diagnosis and treatment of BCC, Mohs micrographic surgery, and follow-up care.
Ensure accurate coding of excision and any reconstruction procedures performed.
Comprehensive treatment plans, including any adjuvant therapies and follow-up protocols.
Management of recurrent BCC and coordination of care with dermatology.
Document any systemic therapies if applicable, although rare for BCC.
Used when excising a BCC from the lower limb.
Document size, location, and margins of the excised lesion.
Dermatologists should ensure accurate coding of the excision based on the complexity.
The primary treatment for basal cell carcinoma is surgical excision, which aims to remove the cancerous tissue while achieving clear margins. Mohs micrographic surgery is often used for high-risk areas.
