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ICD-10 Guide
ICD-10 CodesC44.132

C44.132

Billable

Sebaceous cell carcinoma of skin of right eyelid, including canthus

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

Code Description

ICD-10 C44.132 is a billable code used to indicate a diagnosis of sebaceous cell carcinoma of skin of right eyelid, including canthus.

Key Diagnostic Point:

Sebaceous cell carcinoma is a rare and aggressive form of skin cancer that originates from sebaceous glands, which are responsible for producing oil that lubricates the skin and hair. This specific code refers to sebaceous cell carcinoma located on the skin of the right eyelid, including the canthus, which is the corner of the eye where the upper and lower eyelids meet. Patients with this type of carcinoma may present with a nodular lesion that can be mistaken for benign conditions such as chalazia or seborrheic keratosis. Risk factors include prolonged sun exposure, particularly in fair-skinned individuals, and a history of skin cancer. Surgical excision is the primary treatment, and it is crucial to achieve clear surgical margins to minimize the risk of recurrence. Reconstruction of the eyelid may be necessary post-excision to restore function and aesthetics, which requires careful planning to ensure the integrity of the eyelid structure and surrounding tissues. Regular follow-up is essential for monitoring potential recurrence or metastasis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of the location (right eyelid, including canthus)
  • Need for clear documentation of surgical margins
  • Potential for reconstruction procedures post-excision
  • Differentiation from other skin lesions

Audit Risk Factors

  • Inadequate documentation of surgical margins
  • Failure to document the need for reconstruction
  • Misclassification of the lesion type
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed clinical notes including lesion characteristics, biopsy results, and treatment plans.

Common Clinical Scenarios

Diagnosis and treatment of skin cancers, including excision and reconstruction.

Billing Considerations

Ensure accurate coding of the specific type of skin cancer and its location.

Oculoplastic Surgery

Documentation Requirements

Surgical notes detailing the excision and reconstruction techniques used.

Common Clinical Scenarios

Reconstruction of eyelid defects post-excision of skin cancers.

Billing Considerations

Documentation must reflect the complexity of the reconstruction and any associated procedures.

Coding Guidelines

Inclusion Criteria

Use C44.132 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the diagnosis, treatment, and any associated procedures
  • Include details about the surgical margins and reconstruction when applicable

Exclusion Criteria

Do NOT use C44.132 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

11643CPT Code

Excision, malignant skin lesion, face, ears, eyelids; excised diameter over 4.0 cm

Clinical Scenario

Used for excision of sebaceous cell carcinoma on the right eyelid.

Documentation Requirements

Document the size of the lesion and the margins obtained.

Specialty Considerations

Ensure that the excision is linked to the diagnosis of sebaceous cell carcinoma.

67904CPT Code

Repair of eyelid, full thickness, with graft

Clinical Scenario

Used when reconstruction is necessary after excision.

Documentation Requirements

Detail the type of graft used and the extent of the repair.

Specialty Considerations

Document the reason for reconstruction clearly.

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, including sebaceous cell carcinoma, which aids in better tracking and treatment outcomes. The specificity of ICD-10 codes helps in understanding the prevalence and treatment efficacy of rare skin cancers.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of skin cancers, including sebaceous cell carcinoma, which aids in better tracking and treatment outcomes. The specificity of ICD-10 codes helps in understanding the prevalence and treatment efficacy of rare skin cancers.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of skin cancers, including sebaceous cell carcinoma, which aids in better tracking and treatment outcomes. The specificity of ICD-10 codes helps in understanding the prevalence and treatment efficacy of rare skin cancers.

Resources

Clinical References

  • •
    American Academy of Dermatology
  • •
    National Cancer Institute - Skin Cancer

Coding & Billing References

  • •
    American Academy of Dermatology
  • •
    National Cancer Institute - Skin Cancer

Frequently Asked Questions

What is sebaceous cell carcinoma?

Sebaceous cell carcinoma is a rare type of skin cancer that originates from sebaceous glands. It can be aggressive and is often treated through surgical excision.

How is sebaceous cell carcinoma diagnosed?

Diagnosis is typically made through a biopsy of the lesion, which reveals atypical sebocytes.

What are the treatment options for sebaceous cell carcinoma?

The primary treatment is surgical excision with clear margins. Reconstruction may be necessary depending on the size and location of the tumor.