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 CodesD03.122

D03.122

Billable

Melanoma in situ of left lower eyelid, including canthus

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

Code Description

ICD-10 D03.122 is a billable code used to indicate a diagnosis of melanoma in situ of left lower eyelid, including canthus.

Key Diagnostic Point:

Melanoma in situ of the left 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 left lower eyelid is a critical area due to its proximity to the eye, which necessitates careful monitoring and treatment to prevent complications. Patients may present with a pigmented lesion that may appear irregular in shape or color. Surveillance protocols typically involve regular dermatological examinations to monitor for changes in the lesion's appearance or size. The risk of progression to invasive melanoma is a concern, particularly if the lesion is not adequately treated. Factors such as the size of the lesion, patient age, and immunosuppression can influence the likelihood of progression. Early detection and intervention are crucial in managing this condition effectively.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of the anatomical location (left lower eyelid, including canthus)
  • Need for precise documentation of the lesion characteristics
  • Potential for misclassification with other skin lesions
  • Variability in treatment protocols based on lesion characteristics

Audit Risk Factors

  • Inadequate documentation of lesion characteristics
  • Failure to document follow-up care and surveillance
  • Misalignment between diagnosis and treatment codes
  • Inconsistent coding of related conditions

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed descriptions of the lesion, including size, color, and any changes over time.

Common Clinical Scenarios

Initial diagnosis of melanoma in situ, follow-up visits for surveillance, and treatment planning.

Billing Considerations

Ensure that all relevant clinical findings are documented to support the diagnosis and coding.

Ophthalmology

Documentation Requirements

Documentation of any ocular involvement or concerns related to the eyelid lesion.

Common Clinical Scenarios

Consultations for eyelid lesions, surgical interventions, and post-operative follow-ups.

Billing Considerations

Coordination with dermatology for comprehensive care and accurate coding.

Coding Guidelines

Inclusion Criteria

Use D03.122 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Include details about the lesion's characteristics and any relevant history

Exclusion Criteria

Do NOT use D03.122 When
  • Exclude codes for invasive melanoma or other skin conditions that do not meet the criteria for melanoma in situ

Related ICD-10 Codes

Related CPT Codes

11600CPT Code

Excision, malignant skin lesion, face, ears, scalp

Clinical Scenario

Used when excising a melanoma in situ from the eyelid.

Documentation Requirements

Document the size of the lesion and the margins excised.

Specialty Considerations

Ensure coordination between dermatology and ophthalmology for accurate coding.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding melanoma in situ, improving the accuracy of patient records and facilitating better tracking of treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding melanoma in situ, improving the accuracy of patient records and facilitating better tracking of treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding melanoma in situ, improving the accuracy of patient records and facilitating better tracking of treatment outcomes.

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 accurately?

Accurate coding of melanoma in situ is crucial for appropriate treatment planning, surveillance, and tracking of patient outcomes. It also impacts reimbursement and quality metrics in healthcare.