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ICD-10 Guide
ICD-10 CodesD23.122

D23.122

Billable

Other benign neoplasm of skin of left lower eyelid, including canthus

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

Code Description

ICD-10 D23.122 is a billable code used to indicate a diagnosis of other benign neoplasm of skin of left lower eyelid, including canthus.

Key Diagnostic Point:

D23.122 refers to a benign neoplasm located on the skin of the left lower eyelid, including the canthus, which is the corner of the eye where the upper and lower eyelids meet. Benign neoplasms in this area can include a variety of skin lesions such as seborrheic keratosis, dermatofibromas, or other non-cancerous growths. These lesions are typically asymptomatic but may cause cosmetic concerns or irritation. Diagnosis is usually made through clinical examination, and in some cases, a biopsy may be performed to confirm the benign nature of the lesion. Management often involves monitoring the lesion for changes, and if necessary, surgical excision may be performed for cosmetic reasons or if the lesion becomes symptomatic. Follow-up care is essential to ensure that the lesion does not recur or change in character, which could necessitate further evaluation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of location (left lower eyelid, including canthus)
  • Differentiation from malignant neoplasms
  • Potential for multiple benign neoplasm types
  • Need for accurate documentation of clinical findings

Audit Risk Factors

  • Inadequate documentation of the lesion's characteristics
  • Failure to specify the exact location
  • Misclassification as malignant neoplasm
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed description of the lesion, including size, color, and texture; photographic evidence may be beneficial.

Common Clinical Scenarios

Evaluation of a patient presenting with a new skin lesion on the eyelid; follow-up after excision of a benign lesion.

Billing Considerations

Ensure that the diagnosis is clearly documented as benign and specify the type of neoplasm.

Ophthalmology

Documentation Requirements

Comprehensive eye examination findings, including visual acuity and any impact on eyelid function.

Common Clinical Scenarios

Management of eyelid lesions affecting vision or causing discomfort; surgical intervention for cosmetic reasons.

Billing Considerations

Document any functional impairment caused by the lesion, as this may influence treatment decisions.

Coding Guidelines

Inclusion Criteria

Use D23.122 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Include details about the lesion's characteristics and any treatments provided

Exclusion Criteria

Do NOT use D23.122 When
  • Exclude malignant neoplasms and ensure that the neoplasm is confirmed as benign

Related ICD-10 Codes

Related CPT Codes

11400CPT Code

Excision, benign lesion, face, ears, eyelids; excised diameter less than 1.0 cm

Clinical Scenario

Used when a benign neoplasm on the left lower eyelid is excised.

Documentation Requirements

Document the size and type of lesion, as well as the excision details.

Specialty Considerations

Ensure that the excision is documented as medically necessary and that the lesion is confirmed as benign.

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 data collection and reimbursement processes. D23.122 provides specificity that was not available in ICD-9, enhancing clinical documentation and coding practices.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of data collection and reimbursement processes. D23.122 provides specificity that was not available in ICD-9, enhancing clinical documentation and coding practices.

Reimbursement & Billing Impact

reimbursement processes. D23.122 provides specificity that was not available in ICD-9, enhancing clinical documentation and coding practices.

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 significance of coding D23.122 accurately?

Accurate coding of D23.122 is crucial for proper reimbursement, tracking of benign skin lesions, and ensuring appropriate patient management. It helps in distinguishing benign from malignant conditions, which is essential for treatment planning.