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ICD-10 Guide
ICD-10 CodesC44.192

C44.192

Billable

Other specified malignant neoplasm of skin of right eyelid, including canthus

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

Code Description

ICD-10 C44.192 is a billable code used to indicate a diagnosis of other specified malignant neoplasm of skin of right eyelid, including canthus.

Key Diagnostic Point:

C44.192 refers to a malignant neoplasm of the skin located specifically on the right eyelid, including the canthus, which is the corner of the eye where the upper and lower eyelids meet. This code encompasses various types of skin cancers that may not fit into more specific categories, such as basal cell carcinoma or squamous cell carcinoma. The eyelid is a delicate area, and malignancies here can arise due to factors such as chronic sun exposure, which is a significant risk factor for skin cancers. Surgical management often involves excision of the tumor with clear margins to ensure complete removal, followed by reconstruction of the eyelid to restore function and aesthetics. Reconstruction may involve local flaps or grafts, depending on the size and location of the excised lesion. Proper coding requires detailed documentation of the type of malignancy, the surgical procedure performed, and any reconstructive efforts undertaken, as these factors influence treatment and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of tumor type and characteristics
  • Need for precise surgical margin descriptions
  • Complexity of reconstructive procedures
  • Potential for multiple malignancies in the same area

Audit Risk Factors

  • Inadequate documentation of tumor type
  • Failure to document surgical margins
  • Lack of clarity on reconstructive procedures performed
  • Misclassification of benign versus malignant lesions

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed pathology reports, surgical notes, and follow-up care documentation.

Common Clinical Scenarios

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

Billing Considerations

Ensure accurate coding of tumor type and surgical margins.

Ophthalmology

Documentation Requirements

Comprehensive eye examination findings, surgical notes, and post-operative care documentation.

Common Clinical Scenarios

Management of eyelid malignancies and reconstruction post-excision.

Billing Considerations

Focus on functional outcomes and aesthetic considerations in eyelid reconstruction.

Coding Guidelines

Inclusion Criteria

Use C44.192 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the malignancy type, location, and any surgical interventions
  • Include details on margins and reconstructive procedures as necessary

Exclusion Criteria

Do NOT use C44.192 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

17311CPT Code

Excision, malignant skin lesion

Clinical Scenario

Used when excising a malignant neoplasm from the eyelid.

Documentation Requirements

Document the size of the lesion, margins, and type of reconstruction.

Specialty Considerations

Ensure that the surgical approach aligns with the diagnosis.

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. C44.192 provides a clear designation for malignant neoplasms of the right eyelid, enhancing clinical documentation and coding precision.

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. C44.192 provides a clear designation for malignant neoplasms of the right eyelid, enhancing clinical documentation and coding precision.

Reimbursement & Billing Impact

reimbursement processes. C44.192 provides a clear designation for malignant neoplasms of the right eyelid, enhancing clinical documentation and coding precision.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What types of skin cancers are included under C44.192?

C44.192 encompasses various types of malignant neoplasms of the skin, including but not limited to basal cell carcinoma, squamous cell carcinoma, and other specified malignancies that affect the right eyelid.