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ICD-10 Guide
ICD-10 CodesD23.60

D23.60

Billable

Other benign neoplasm of skin of unspecified upper limb, including shoulder

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

Code Description

ICD-10 D23.60 is a billable code used to indicate a diagnosis of other benign neoplasm of skin of unspecified upper limb, including shoulder.

Key Diagnostic Point:

D23.60 refers to benign neoplasms of the skin located on the unspecified upper limb, including the shoulder. These neoplasms can vary in type, including but not limited to dermatofibromas, lipomas, and other non-cancerous growths. Clinically, these lesions may present as asymptomatic masses or may cause discomfort depending on their size and location. Diagnosis typically involves a thorough physical examination and may require imaging studies or biopsy to confirm the benign nature of the lesion. Management often includes monitoring for changes in size or symptoms, 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 remains benign and to monitor for any potential recurrence. The prognosis for patients with benign skin neoplasms is generally favorable, with low rates of complications or malignancy.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • General familiarity with benign skin neoplasms
  • Limited need for extensive diagnostic testing
  • Straightforward coding guidelines
  • Minimal documentation requirements compared to malignant neoplasms

Audit Risk Factors

  • Inadequate documentation of the benign nature of the neoplasm
  • Failure to specify the location accurately
  • Misclassification of benign neoplasms as malignant
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed descriptions of the lesion, including size, location, and characteristics.

Common Clinical Scenarios

Evaluation of asymptomatic skin lesions, management of symptomatic benign neoplasms.

Billing Considerations

Ensure clear documentation of the benign nature to avoid misclassification.

Plastic Surgery

Documentation Requirements

Surgical notes detailing excision procedures and pathology reports.

Common Clinical Scenarios

Surgical removal of benign skin lesions for cosmetic reasons.

Billing Considerations

Document the rationale for excision and any patient concerns addressed.

Coding Guidelines

Inclusion Criteria

Use D23.60 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the lesion's characteristics and location

Exclusion Criteria

Do NOT use D23.60 When
  • Exclude codes for malignant neoplasms and ensure that the benign nature is clearly documented

Related ICD-10 Codes

Related CPT Codes

11400CPT Code

Excision, benign skin lesion

Clinical Scenario

Used when a benign skin lesion is excised.

Documentation Requirements

Surgical notes detailing the procedure and pathology results.

Specialty Considerations

Ensure that the excision is documented as necessary for the patient's condition.

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 patient records and facilitating better management of these conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of patient records and facilitating better management of these conditions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of patient records and facilitating better management of these conditions.

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 benign and malignant neoplasms?

Benign neoplasms are non-cancerous growths that do not invade surrounding tissues or metastasize, while malignant neoplasms are cancerous and can spread to other parts of the body.