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ICD-10 Guide
ICD-10 CodesC44.01

C44.01

Billable

Basal cell carcinoma of skin of lip

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

Code Description

ICD-10 C44.01 is a billable code used to indicate a diagnosis of basal cell carcinoma of skin of lip.

Key Diagnostic Point:

Basal cell carcinoma (BCC) is the most common form of skin cancer, arising from the basal cells in the epidermis. When it occurs on the lip, it presents unique challenges due to the anatomical and functional significance of this area. BCC on the lip is often linked to chronic sun exposure, which damages the skin's DNA and leads to uncontrolled cell growth. Clinically, it may appear as a pearly or waxy bump, a flat, flesh-colored lesion, or a sore that doesn't heal. Surgical excision is the primary treatment, and achieving clear surgical margins is crucial to prevent recurrence. Reconstruction may be necessary, especially for larger lesions, to restore both function and aesthetics. The prognosis for BCC is generally favorable, but careful monitoring is essential due to the potential for local invasion and the risk of developing additional skin cancers in sun-exposed areas.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of skin cancers (BCC vs. SCC vs. melanoma)
  • Understanding the anatomical significance of the lip in surgical procedures
  • Documenting the extent of the lesion and surgical margins accurately
  • Reconstruction procedures may require additional coding

Audit Risk Factors

  • Inadequate documentation of surgical margins
  • Failure to specify the location of the carcinoma accurately
  • Misclassification of the type of skin cancer
  • Lack of documentation for reconstruction procedures

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed descriptions of the lesion, treatment plan, and follow-up care.

Common Clinical Scenarios

Diagnosis and treatment of BCC, Mohs micrographic surgery, and post-operative care.

Billing Considerations

Ensure clear documentation of margins and any additional procedures performed.

Plastic Surgery

Documentation Requirements

Comprehensive records of reconstructive procedures and aesthetic outcomes.

Common Clinical Scenarios

Reconstruction after excision of BCC on the lip, including flap or graft techniques.

Billing Considerations

Document the functional and cosmetic outcomes of reconstruction.

Coding Guidelines

Inclusion Criteria

Use C44.01 When
  • Follow the official ICD
  • CM guidelines for coding neoplasms, ensuring accurate documentation of the site, type, and behavior of the tumor
  • Include any relevant details about treatment and follow

Exclusion Criteria

Do NOT use C44.01 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

17311CPT Code

Excision, malignant skin lesion

Clinical Scenario

Used when excising a BCC from the lip.

Documentation Requirements

Document size, location, and margins of the excised lesion.

Specialty Considerations

Dermatologists should ensure accurate coding of excised margins.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of skin cancers, improving the accuracy of data collection and reimbursement processes. C44.01 provides a clear distinction for basal cell carcinoma of the lip, which aids in treatment planning and epidemiological tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of skin cancers, improving the accuracy of data collection and reimbursement processes. C44.01 provides a clear distinction for basal cell carcinoma of the lip, which aids in treatment planning and epidemiological tracking.

Reimbursement & Billing Impact

reimbursement processes. C44.01 provides a clear distinction for basal cell carcinoma of the lip, which aids in treatment planning and epidemiological tracking.

Resources

Clinical References

  • •
    American Academy of Dermatology

Coding & Billing References

  • •
    American Academy of Dermatology

Frequently Asked Questions

What is the primary treatment for basal cell carcinoma of the lip?

The primary treatment is surgical excision, often followed by reconstruction if necessary. Mohs micrographic surgery is also a common approach for ensuring clear margins.