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ICD-10 Guide
ICD-10 CodesC44.139

C44.139

Billable

Sebaceous cell carcinoma of skin of left eyelid, including canthus

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

Code Description

ICD-10 C44.139 is a billable code used to indicate a diagnosis of sebaceous cell carcinoma of skin of left eyelid, including canthus.

Key Diagnostic Point:

Sebaceous cell carcinoma is a rare and aggressive form of skin cancer that arises from sebaceous glands, which are responsible for producing oil in the skin. This specific code pertains to sebaceous cell carcinoma located on the left eyelid, including the canthus, which is the corner of the eye where the upper and lower eyelids meet. The condition is characterized by the uncontrolled growth of sebaceous cells, leading to the formation of nodules or lesions that can be ulcerated or crusted. Risk factors include prolonged sun exposure, which can damage the skin and increase the likelihood of malignant transformations. Surgical excision is the primary treatment, and it is crucial to achieve clear surgical margins to minimize the risk of recurrence. Reconstruction may be necessary post-excision, especially in cosmetically sensitive areas like the eyelids, to restore function and appearance. Regular follow-up is essential due to the potential for metastasis and recurrence, particularly in cases where the tumor is not completely excised.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Inadequate documentation of surgical margins
  • Failure to document the specific location of the carcinoma
  • Lack of follow-up notes regarding recurrence or metastasis
  • Improper coding of reconstruction procedures

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed descriptions of the lesion, including size, location, and histological findings.

Common Clinical Scenarios

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

Billing Considerations

Ensure clear documentation of margins and any additional procedures performed.

Ophthalmology

Documentation Requirements

Documentation of visual function, eyelid anatomy, and any impact on ocular health.

Common Clinical Scenarios

Management of eyelid tumors and reconstruction post-excision.

Billing Considerations

Collaboration with dermatology for comprehensive care and accurate coding.

Coding Guidelines

Inclusion Criteria

Use C44.139 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the diagnosis, location, and any associated procedures
  • Include details about the surgical margins and any reconstructive efforts

Exclusion Criteria

Do NOT use C44.139 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

11600CPT Code

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

Clinical Scenario

Used when excising a sebaceous carcinoma from the eyelid.

Documentation Requirements

Document the size of the lesion and the margins obtained.

Specialty Considerations

Ensure coordination between dermatology and ophthalmology for optimal patient outcomes.

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 enhances the accuracy of data collection and treatment tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of skin cancers, including sebaceous cell carcinoma, which enhances the accuracy of data collection and treatment tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of skin cancers, including sebaceous cell carcinoma, which enhances the accuracy of data collection and treatment tracking.

Resources

Clinical References

  • •
    American Academy of Dermatology
  • •
    American Academy of Ophthalmology

Coding & Billing References

  • •
    American Academy of Dermatology
  • •
    American Academy of Ophthalmology

Frequently Asked Questions

What is sebaceous cell carcinoma?

Sebaceous cell carcinoma is a rare skin cancer that originates from sebaceous glands, often presenting as a nodular lesion on the skin, particularly in sun-exposed areas.

How is sebaceous cell carcinoma treated?

Treatment typically involves surgical excision with clear margins, and reconstruction may be necessary depending on the extent of the lesion.