Melanoma in situ of unspecified upper limb, including shoulder
ICD-10 D03.60 is a billable code used to indicate a diagnosis of melanoma in situ of unspecified upper limb, including shoulder.
Melanoma in situ is a type of skin cancer that is confined to the epidermis, the outermost layer of skin, and has not invaded deeper tissues. The designation 'in situ' indicates that the cancerous cells are localized and have not metastasized. This specific code, D03.60, refers to melanoma in situ located on the unspecified upper limb, which includes the shoulder. Clinically, melanoma in situ may present as a changing mole or a new pigmented lesion that may vary in color, size, and shape. Early detection is crucial, as melanoma can progress to invasive disease if left untreated. Surveillance protocols typically involve regular skin examinations by a healthcare provider, patient self-examinations, and possibly dermatoscopic evaluations to monitor for changes in existing lesions or the emergence of new ones. The risk of progression to invasive melanoma is higher in cases where the lesion is larger or exhibits atypical features, necessitating timely intervention and management.
Detailed descriptions of lesion size, shape, color, and changes over time.
Initial diagnosis of melanoma in situ, follow-up visits for monitoring, and treatment planning.
Ensure accurate staging and documentation of any changes in the lesion.
Comprehensive treatment plans, including surgical interventions and follow-up care.
Management of melanoma in situ, including excisional biopsy and patient education on skin monitoring.
Coordination of care with dermatology for ongoing surveillance.
Used when excising a melanoma in situ from the upper limb.
Document the size of the lesion and the margins of excision.
Ensure coordination with dermatology for follow-up care.
Melanoma in situ is confined to the epidermis and has not invaded deeper tissues, while invasive melanoma has penetrated beyond the epidermis into the dermis and may metastasize.
