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v1.0.0
ICD-10 Guide
ICD-10 CodesD03.112

D03.112

Billable

Melanoma in situ of right lower eyelid, including canthus

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

Code Description

ICD-10 D03.112 is a billable code used to indicate a diagnosis of melanoma in situ of right lower eyelid, including canthus.

Key Diagnostic Point:

Melanoma in situ of the right lower eyelid, including the canthus, is a localized form of skin cancer characterized by the uncontrolled growth of melanocytes, the pigment-producing cells in the skin. This condition is classified as 'in situ' because the cancerous cells are confined to the epidermis and have not invaded deeper tissues. The right lower eyelid is a critical area due to its proximity to the eye, and lesions here can affect both cosmetic appearance and ocular function. Diagnosis typically involves a biopsy, which confirms the presence of atypical melanocytes. Surveillance protocols for melanoma in situ include regular dermatological examinations, with a focus on monitoring for changes in the lesion's size, shape, or color. The risk of progression to invasive melanoma is a concern, particularly if the lesion is not adequately treated. Factors such as the patient's history of sun exposure, family history of skin cancer, and immunosuppression can influence the likelihood of progression. Treatment options often include surgical excision, and close follow-up is essential to ensure complete removal and to monitor for any new lesions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of the anatomical location (right lower eyelid)
  • Need for precise documentation of the in situ nature of the melanoma
  • Potential for misclassification with invasive melanoma codes
  • Variability in treatment protocols and follow-up requirements

Audit Risk Factors

  • Inadequate documentation of the biopsy results
  • Failure to document the treatment plan and follow-up
  • Misinterpretation of the in situ versus invasive melanoma
  • Lack of detailed patient history related to skin cancer

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Complete clinical notes including biopsy results, treatment plans, and follow-up care.

Common Clinical Scenarios

Diagnosis and management of melanoma in situ, including excisional biopsy and patient education.

Billing Considerations

Ensure accurate staging and documentation of the lesion's characteristics.

Ophthalmology

Documentation Requirements

Detailed ocular examination findings and any impact on vision or ocular health.

Common Clinical Scenarios

Management of eyelid lesions and their implications for ocular function.

Billing Considerations

Coordination with dermatology for comprehensive care and monitoring.

Coding Guidelines

Inclusion Criteria

Use D03.112 When
  • Follow the official ICD
  • CM guidelines for coding neoplasms, ensuring to document the specific site and nature of the melanoma
  • Include any relevant patient history and treatment plans

Exclusion Criteria

Do NOT use D03.112 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

11600CPT Code

Excision, malignant skin lesion, face, ears, eyelids; excised diameter excised 0.5 cm or less

Clinical Scenario

Used when excising a melanoma in situ from the eyelid.

Documentation Requirements

Document the size of the lesion, excised margins, and pathology results.

Specialty Considerations

Ensure coordination between dermatology and ophthalmology for eyelid lesions.

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 patient records and treatment plans. This specificity aids in better tracking of outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of melanoma in situ, improving the accuracy of patient records and treatment plans. This specificity aids in better tracking of outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of melanoma in situ, improving the accuracy of patient records and treatment plans. This specificity aids in better tracking of outcomes and resource allocation.

Resources

Clinical References

  • •
    American Academy of Dermatology

Coding & Billing References

  • •
    American Academy of Dermatology

Frequently Asked Questions

What is the significance of coding melanoma in situ?

Coding melanoma in situ accurately is crucial for treatment planning and monitoring progression. It helps in identifying patients at risk for invasive melanoma and ensures appropriate follow-up care.