Squamous cell carcinoma of skin of unspecified upper limb, including shoulder
ICD-10 C44.621 is a billable code used to indicate a diagnosis of squamous cell carcinoma of skin of unspecified upper limb, including shoulder.
Squamous cell carcinoma (SCC) is a common form of skin cancer that arises from the squamous cells in the epidermis. This type of cancer is often associated with prolonged sun exposure, which can lead to DNA damage in skin cells. The upper limb, including the shoulder, is a common site for SCC due to its exposure to ultraviolet (UV) radiation. Patients may present with a variety of symptoms, including a persistent sore that does not heal, a growth that appears crusty or scaly, or a change in an existing mole. Diagnosis is typically confirmed through a biopsy, where a sample of the suspicious skin is examined histologically. Treatment options may include surgical excision, Mohs micrographic surgery, cryotherapy, or topical chemotherapy, depending on the size, depth, and location of the tumor. Surgical margins are critical in ensuring complete removal of the cancerous tissue, and reconstruction may be necessary to restore the appearance and function of the affected area. Regular follow-up is essential to monitor for recurrence or new skin cancers, especially in patients with a history of sun exposure or previous skin cancers.
Detailed descriptions of lesion characteristics, biopsy results, and treatment plans.
Diagnosis and treatment of SCC, follow-up for skin cancer surveillance.
Ensure accurate documentation of the location and size of lesions, as well as surgical margins.
Comprehensive treatment plans, including chemotherapy or radiation therapy details.
Management of advanced SCC, coordination of care with dermatology.
Document any systemic treatments and their effects on the patient.
Used for excision of large SCC lesions on the upper limb.
Document size of lesion, location, and surgical margins.
Dermatologists should ensure clear documentation of the excision site.
Common treatments include surgical excision, Mohs micrographic surgery, cryotherapy, and topical chemotherapy. The choice of treatment depends on the size, location, and depth of the carcinoma.
