Squamous cell carcinoma of skin of right upper limb, including shoulder
ICD-10 C44.622 is a billable code used to indicate a diagnosis of squamous cell carcinoma of skin of right 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 malignancy is often associated with prolonged sun exposure, which leads to DNA damage in skin cells. The right upper limb, including the shoulder, is a frequent site for SCC due to its exposure to ultraviolet (UV) radiation. Clinically, SCC may present as a persistent sore, a scaly patch, or a wart-like growth that can bleed or crust over. Diagnosis is typically confirmed through a biopsy, which reveals atypical squamous cells. Treatment options include surgical excision, Mohs micrographic surgery, and in some cases, radiation therapy or topical chemotherapy. Surgical margins are critical in SCC management; clear margins are essential to reduce the risk of recurrence. Reconstruction may be necessary depending on the size and location of the excised lesion, with options ranging from primary closure to skin grafts or flaps. Regular follow-up is important for monitoring potential recurrence and managing any new lesions, especially in patients with a history of skin cancer.
Detailed descriptions of the lesion, biopsy results, and treatment plans.
Diagnosis and treatment of SCC, follow-up for skin cancer patients, and management of skin lesions.
Ensure accurate recording of the lesion's characteristics and treatment outcomes.
Comprehensive treatment plans, including chemotherapy or radiation therapy details if applicable.
Management of advanced SCC, coordination of care with surgical teams, and monitoring for metastasis.
Document any systemic treatments and their effects on the patient's overall health.
Used when excising SCC from the right upper limb.
Document the size of the lesion and margins.
Dermatology should ensure accurate coding based on the excised area.
Clear surgical margins indicate that the cancer has been completely removed, reducing the risk of recurrence. Documentation of margins is essential for accurate coding and treatment planning.
