Basal cell carcinoma of skin of left upper eyelid, including canthus
ICD-10 C44.1191 is a billable code used to indicate a diagnosis of basal cell carcinoma of skin of left upper eyelid, including canthus.
Basal cell carcinoma (BCC) is the most common form of skin cancer, arising from the basal cells in the epidermis. This specific code, C44.1191, refers to BCC located on the skin of the left upper eyelid, including the canthus, which is the corner of the eye where the upper and lower eyelids meet. BCC is typically associated with prolonged sun exposure, leading to mutations in the DNA of skin cells. Clinically, BCC may present as a pearly or waxy bump, a flat, flesh-colored or brown scar-like lesion, or a sore that bleeds, oozes, or crusts and remains open for weeks. Surgical excision is the primary treatment, with careful attention to surgical margins to ensure complete removal of cancerous cells. Reconstruction may be necessary depending on the size and location of the excised lesion, particularly in cosmetically sensitive areas like the eyelids. Proper coding requires detailed documentation of the lesion's characteristics, treatment plan, and any reconstructive procedures performed.
Detailed clinical notes on the lesion's characteristics, treatment plan, and follow-up care.
Diagnosis and treatment of skin cancers, including BCC, and management of post-surgical care.
Ensure accurate documentation of margins and any reconstructive procedures performed.
Documentation of ocular examination findings and any impact on vision or eyelid function.
Management of eyelid lesions and coordination of care for reconstructive surgery.
Collaboration with dermatology for comprehensive care and accurate coding.
Used when excising a BCC from the left upper eyelid.
Document the size of the lesion and margins excised.
Dermatology and ophthalmology should coordinate care for eyelid lesions.
Specifying the eyelid location is crucial for accurate coding and treatment planning, as it affects surgical approach and potential reconstructive needs.
