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ICD-10 Guide
ICD-10 CodesD03.10

D03.10

Billable

Melanoma in situ of unspecified eyelid, including canthus

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

Code Description

ICD-10 D03.10 is a billable code used to indicate a diagnosis of melanoma in situ of unspecified eyelid, including canthus.

Key Diagnostic Point:

Melanoma in situ of the eyelid, including the canthus, is a localized form of skin cancer characterized by the presence of atypical melanocytes confined to the epidermis. This condition is considered a precursor to invasive melanoma and is typically asymptomatic in its early stages. The eyelid is a common site for melanoma due to its exposure to UV radiation and the presence of melanocytes. Diagnosis is often made through a combination of clinical examination and histopathological evaluation following a biopsy. Melanoma in situ is classified as stage 0 melanoma, indicating that the cancer has not invaded deeper tissues. Early detection and treatment are crucial to prevent progression to invasive melanoma, which can have significant morbidity and mortality. Treatment options may include surgical excision, Mohs micrographic surgery, or topical chemotherapy, depending on the size and location of the lesion. Regular surveillance is essential for patients diagnosed with melanoma in situ, as they are at increased risk for developing invasive melanoma in the future.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation practices among providers
  • Need for precise anatomical localization
  • Differentiation from other skin lesions
  • Potential for progression to invasive melanoma

Audit Risk Factors

  • Inadequate documentation of biopsy results
  • Failure to specify the eyelid location
  • Lack of follow-up documentation
  • Inconsistent terminology used in clinical notes

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed clinical notes including lesion size, location, and biopsy results.

Common Clinical Scenarios

Diagnosis and treatment of suspicious skin lesions, follow-up of previously diagnosed melanoma in situ.

Billing Considerations

Ensure clear documentation of the lesion's characteristics and any treatment provided.

Ophthalmology

Documentation Requirements

Comprehensive eye examination findings, including visual acuity and eyelid examination.

Common Clinical Scenarios

Management of eyelid lesions, including surgical excision and reconstruction.

Billing Considerations

Document any impact on vision or eyelid function.

Coding Guidelines

Inclusion Criteria

Use D03.10 When
  • According to ICD
  • CM guidelines, melanoma in situ codes should be used when the cancer is confined to the epidermis
  • Documentation must support the diagnosis, including biopsy results and clinical findings

Exclusion Criteria

Do NOT use D03.10 When
  • Exclusion criteria include invasive melanoma and other skin malignancies

Related ICD-10 Codes

Related CPT Codes

11600CPT Code

Excision, malignant skin lesion

Clinical Scenario

Used for excising melanoma in situ lesions.

Documentation Requirements

Pathology report confirming diagnosis and details of the excised lesion.

Specialty Considerations

Dermatology and surgical oncology should ensure accurate coding based on the excised margins.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of melanoma in situ, improving the accuracy of data collection and reimbursement processes. This specificity aids in tracking treatment outcomes and epidemiological studies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of melanoma in situ, improving the accuracy of data collection and reimbursement processes. This specificity aids in tracking treatment outcomes and epidemiological studies.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in tracking treatment outcomes and epidemiological studies.

Resources

Clinical References

  • •
    American Academy of Dermatology

Coding & Billing References

  • •
    American Academy of Dermatology

Frequently Asked Questions

What is the significance of melanoma in situ?

Melanoma in situ is a critical early stage of melanoma that has not invaded deeper tissues. Early detection and treatment are vital to prevent progression to invasive melanoma, which can be life-threatening.