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ICD-10 Guide
ICD-10 CodesD23.0

D23.0

Billable

Other benign neoplasm of skin of lip

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

Code Description

ICD-10 D23.0 is a billable code used to indicate a diagnosis of other benign neoplasm of skin of lip.

Key Diagnostic Point:

D23.0 refers to benign neoplasms of the skin located specifically on the lip. These neoplasms can include a variety of growths such as seborrheic keratosis, lipomas, and other non-cancerous tumors. Clinically, these lesions may present as asymptomatic, raised, or pigmented areas on the lip, and they are often discovered incidentally during routine examinations. While benign, these neoplasms can cause cosmetic concerns or discomfort, prompting patients to seek removal. Diagnosis typically involves a physical examination, and in some cases, a biopsy may be performed to confirm the benign nature of the lesion. Management usually involves monitoring for changes in size or appearance, and surgical excision may be indicated if the neoplasm becomes symptomatic or for cosmetic reasons. Follow-up care is essential to ensure that the lesion does not recur and to monitor for any new growths. Overall, while benign neoplasms of the lip are not life-threatening, they require appropriate coding and documentation to ensure accurate treatment and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of benign neoplasms that can be coded under this category
  • Need for precise documentation to differentiate from malignant lesions
  • Potential for overlapping symptoms with other conditions
  • Variability in treatment approaches based on patient preference and lesion characteristics

Audit Risk Factors

  • Inadequate documentation of the lesion's characteristics
  • Failure to specify the exact type of benign neoplasm
  • Misclassification of benign lesions as malignant
  • Lack of follow-up documentation post-treatment

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed description of the lesion, including size, color, and any symptoms.

Common Clinical Scenarios

Evaluation of a patient presenting with a new lip lesion or follow-up after excision.

Billing Considerations

Ensure that the diagnosis is clearly documented as benign to avoid confusion with malignant codes.

Oral Surgery

Documentation Requirements

Surgical notes detailing the excision procedure and histopathology results.

Common Clinical Scenarios

Surgical removal of a benign lip neoplasm for cosmetic reasons.

Billing Considerations

Document the reason for excision and any patient-reported symptoms.

Coding Guidelines

Inclusion Criteria

Use D23.0 When
  • According to ICD
  • 10 guidelines, D23
  • 0 should be used when a benign neoplasm of the skin of the lip is diagnosed
  • It is important to document the specific type of neoplasm and any relevant patient history

Exclusion Criteria

Do NOT use D23.0 When
  • Exclusions include malignant neoplasms and unspecified neoplasms

Related ICD-10 Codes

Related CPT Codes

11400CPT Code

Excision, benign lesion

Clinical Scenario

Used when excising a benign neoplasm of the lip.

Documentation Requirements

Surgical notes detailing the procedure and pathology results.

Specialty Considerations

Dermatology and oral surgery may have specific documentation needs.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of diagnoses and treatment tracking. D23.0 provides a clear distinction from malignant codes, which is crucial for patient management and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of diagnoses and treatment tracking. D23.0 provides a clear distinction from malignant codes, which is crucial for patient management and billing.

Reimbursement & Billing Impact

billing.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between D23.0 and malignant codes?

D23.0 specifically refers to benign neoplasms of the skin of the lip, while malignant codes indicate cancerous lesions. Accurate documentation is essential to avoid misclassification.