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ICD-10 Guide
ICD-10 CodesC44.2

C44.2

Billable

Other and unspecified malignant neoplasm of skin of ear and external auricular canal

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

Code Description

ICD-10 C44.2 is a billable code used to indicate a diagnosis of other and unspecified malignant neoplasm of skin of ear and external auricular canal.

Key Diagnostic Point:

C44.2 refers to malignant neoplasms of the skin located specifically on the ear and external auricular canal. These neoplasms can arise from various skin cell types, including squamous cells, basal cells, and melanocytes. The ear is particularly susceptible to skin cancers due to its exposure to ultraviolet (UV) radiation from the sun. Risk factors include prolonged sun exposure, fair skin, and a history of sunburns. Surgical management often involves excision of the tumor with clear margins to ensure complete removal and minimize recurrence. Reconstruction may be necessary depending on the size and location of the excised lesion, which can involve local flaps or grafts to restore the ear's appearance and function. Accurate coding requires thorough documentation of the tumor type, size, location, and surgical margins, as well as any reconstructive procedures performed.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in tumor types and histology
  • Need for precise documentation of surgical margins
  • Potential for reconstruction procedures
  • Differentiation from benign skin lesions

Audit Risk Factors

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

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 margins; document any reconstructive procedures performed.

Otolaryngology

Documentation Requirements

Operative reports detailing excision and reconstruction, pathology results.

Common Clinical Scenarios

Management of skin cancers affecting the ear, including surgical excision and reconstruction.

Billing Considerations

Document the extent of the neoplasm and any reconstructive techniques used.

Coding Guidelines

Inclusion Criteria

Use C44.2 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the malignancy type, location, and treatment
  • Include details on surgical margins and any reconstructive procedures
  • related conditions

Exclusion Criteria

Do NOT use C44.2 When
  • Exclude benign neoplasms and non

Related ICD-10 Codes

Related CPT Codes

11600CPT Code

Excision, malignant skin lesion, face, ears, scalp

Clinical Scenario

Used when excising a malignant lesion from the ear.

Documentation Requirements

Operative report detailing the excised lesion and margins.

Specialty Considerations

Dermatology and otolaryngology must document the type of malignancy and reconstruction if performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of skin malignancies, improving the accuracy of data collection and reimbursement processes. C44.2 provides granularity that 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 malignancies, improving the accuracy of data collection and reimbursement processes. C44.2 provides granularity that aids in tracking treatment outcomes and resource allocation.

Reimbursement & Billing Impact

reimbursement processes. C44.2 provides granularity that aids in tracking treatment outcomes and resource allocation.

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 C44.2?

C44.2 includes other and unspecified malignant neoplasms of the skin of the ear and external auricular canal, which may encompass various types of skin cancers such as squamous cell carcinoma, basal cell carcinoma, and melanoma, depending on the specific diagnosis.