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ICD-10 Guide
ICD-10 CodesD23.61

D23.61

Billable

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

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

Code Description

ICD-10 D23.61 is a billable code used to indicate a diagnosis of other benign neoplasm of skin of right upper limb, including shoulder.

Key Diagnostic Point:

D23.61 refers to a benign neoplasm located on the skin of the right upper limb, which includes the shoulder. Benign neoplasms are non-cancerous growths that can arise from various skin cells, including keratinocytes, melanocytes, and fibroblasts. Common types of benign skin neoplasms include seborrheic keratosis, dermatofibromas, and lipomas. These growths may present as raised lesions, discolorations, or nodules and are typically asymptomatic, although they can sometimes cause discomfort or cosmetic concerns. 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 neoplasm for changes, and if necessary, surgical excision may be performed for symptomatic lesions or for cosmetic reasons. Follow-up care is essential to ensure that the neoplasm remains benign and to monitor for any potential changes that could indicate malignancy.

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 of the location and type of neoplasm
  • Differentiation from malignant neoplasms
  • Potential for overlapping codes with other skin conditions

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

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

Common Clinical Scenarios

Evaluation of a patient with a new skin lesion, follow-up of previously diagnosed benign neoplasms.

Billing Considerations

Ensure that the diagnosis is supported by clinical findings and any necessary biopsy results.

Oncology

Documentation Requirements

Comprehensive history of the lesion, including any changes in size or appearance.

Common Clinical Scenarios

Assessment of skin lesions in patients with a history of skin cancer.

Billing Considerations

Differentiating between benign and malignant lesions is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use D23.61 When
  • According to ICD
  • 10 coding guidelines, D23
  • 61 should be used when the neoplasm is confirmed as benign and located specifically on the right upper limb
  • Documentation must support the diagnosis, including the type of neoplasm and its characteristics

Exclusion Criteria

Do NOT use D23.61 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

11400CPT Code

Excision, benign lesion

Clinical Scenario

Used when excising a benign neoplasm from the right upper limb.

Documentation Requirements

Operative report detailing the procedure and pathology results.

Specialty Considerations

Dermatologists should ensure that the excised lesion is documented 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. D23.61 provides a clear distinction for benign lesions located on the right upper limb.

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. D23.61 provides a clear distinction for benign lesions located on the right upper limb.

Reimbursement & Billing Impact

reimbursement processes. D23.61 provides a clear distinction for benign lesions located on the right upper limb.

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 D23.61 and D23.60?

D23.61 specifies a benign neoplasm located on the right upper limb, while D23.60 is used for unspecified benign neoplasms of the skin.