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ICD-10 Guide
ICD-10 CodesC44.102

C44.102

Billable

Unspecified malignant neoplasm of skin of right eyelid, including canthus

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

Code Description

ICD-10 C44.102 is a billable code used to indicate a diagnosis of unspecified malignant neoplasm of skin of right eyelid, including canthus.

Key Diagnostic Point:

C44.102 refers to an unspecified malignant neoplasm of the skin located on the right eyelid, including the canthus, which is the corner of the eye where the upper and lower eyelids meet. This type of skin cancer can arise from various skin cells and may present as a lesion, ulcer, or growth. The eyelid is a common site for skin cancers due to its exposure to ultraviolet (UV) radiation from the sun, which is a significant risk factor. Patients may present with symptoms such as changes in skin color, texture, or the appearance of a new growth. Surgical intervention is often required, and the margins of excised tissue must be carefully evaluated to ensure complete removal of malignant cells. Reconstruction may be necessary to restore the eyelid's appearance and function, which can involve complex surgical techniques. Accurate coding is essential for proper treatment planning and reimbursement, as well as for tracking cancer incidence and outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation of skin lesions
  • Need for precise documentation of surgical margins
  • Potential for reconstruction procedures
  • Differentiation from benign lesions

Audit Risk Factors

  • Inadequate documentation of the malignancy's characteristics
  • Failure to document surgical margins
  • Lack of clarity on the extent of the neoplasm
  • Improper coding of associated procedures

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed descriptions of the lesion, biopsy results, and treatment plans.

Common Clinical Scenarios

Diagnosis and treatment of skin cancers, including Mohs micrographic surgery.

Billing Considerations

Ensure clear documentation of margins and any reconstructive procedures performed.

Ophthalmology

Documentation Requirements

Documentation of visual function, eyelid anatomy, and surgical interventions.

Common Clinical Scenarios

Management of eyelid tumors and reconstruction post-excision.

Billing Considerations

Focus on the functional impact of the neoplasm on vision and eyelid movement.

Coding Guidelines

Inclusion Criteria

Use C44.102 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the site, type of malignancy, and any associated procedures
  • Include details about the surgical margins and any reconstructive efforts

Exclusion Criteria

Do NOT use C44.102 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

11420CPT Code

Excision, malignant skin lesion, face, ears, eyelids

Clinical Scenario

Used when excising a malignant neoplasm from the eyelid.

Documentation Requirements

Document the size of the lesion and the margins excised.

Specialty Considerations

Ensure that the procedure is performed by a qualified specialist.

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. C44.102 provides a clear designation for malignant neoplasms of the eyelid, which aids in tracking treatment outcomes and resource allocation.

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. C44.102 provides a clear designation for malignant neoplasms of the eyelid, which aids in tracking treatment outcomes and resource allocation.

Reimbursement & Billing Impact

reimbursement processes. C44.102 provides a clear designation for malignant neoplasms of the eyelid, which aids in tracking treatment outcomes and resource allocation.

Resources

Clinical References

  • •
    American Academy of Dermatology

Coding & Billing References

  • •
    American Academy of Dermatology

Frequently Asked Questions

What is the significance of coding C44.102 accurately?

Accurate coding of C44.102 is crucial for appropriate treatment planning, reimbursement, and tracking cancer incidence. It ensures that healthcare providers receive proper compensation for the services rendered and helps in the management of patient care.