Squamous cell carcinoma of skin of upper limb, including shoulder
ICD-10 C44.62 is a billable code used to indicate a diagnosis of squamous cell carcinoma of skin of upper limb, including shoulder.
Squamous cell carcinoma (SCC) of the skin is a malignant tumor that arises from the squamous cells, which are flat cells located in the outer layer of the skin. This type of cancer is commonly associated with sun exposure, particularly in areas of the skin that are frequently exposed to ultraviolet (UV) radiation, such as the upper limbs and shoulders. SCC can present as a persistent sore, a growth that bleeds, or a scaly patch that may crust or ulcerate. Diagnosis typically involves a biopsy to confirm the presence of malignant cells. Treatment options vary based on the size and location of the tumor and may include surgical excision, Mohs micrographic surgery, cryotherapy, or topical chemotherapy. Surgical margins are critical in SCC management; ensuring clear margins during excision is essential to reduce the risk of recurrence. Reconstruction may be necessary depending on the size of the excised area, and techniques can range from simple closure to more complex flap or graft procedures. Regular follow-up is important to monitor for recurrence or new skin cancers, especially in patients with a history of sun exposure.
Detailed descriptions of the lesion, biopsy results, and treatment plans.
Diagnosis and treatment of SCC, follow-up for skin cancer surveillance.
Ensure accurate coding of multiple lesions and any associated procedures.
Operative reports detailing excision margins, reconstruction techniques, and pathology results.
Surgical excision of SCC, Mohs surgery, and reconstruction of excised areas.
Documentation must clearly indicate the extent of excision and any complications.
Used when excising larger SCC lesions on the upper limb.
Operative report must detail the size of the lesion and margins.
Dermatology and surgical oncology must ensure accurate coding of excised margins.
The primary cause of squamous cell carcinoma is prolonged exposure to ultraviolet (UV) radiation from the sun, which leads to DNA damage in skin cells.
