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ICD-10 Guide
ICD-10 CodesC44.692

C44.692

Billable

Other specified malignant neoplasm of skin of right upper limb, including shoulder

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

Code Description

ICD-10 C44.692 is a billable code used to indicate a diagnosis of other specified malignant neoplasm of skin of right upper limb, including shoulder.

Key Diagnostic Point:

C44.692 refers to a malignant neoplasm of the skin located specifically on the right upper limb, including the shoulder. This code encompasses various types of skin cancers that do not fall under more specific categories, such as melanoma or basal cell carcinoma. Skin cancers are often associated with prolonged sun exposure, which can lead to DNA damage in skin cells, resulting in uncontrolled cell growth. The right upper limb is particularly susceptible due to its exposure to sunlight. Surgical intervention is a common treatment, and it is crucial to ensure clear surgical margins to prevent recurrence. Reconstruction may be necessary depending on the size and location of the excised tumor, which can involve techniques such as skin grafts or flap surgeries to restore function and appearance. Accurate coding is essential for proper treatment documentation and reimbursement, as well as for tracking cancer incidence and outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of skin cancer types that can be coded under this category
  • Need for precise documentation of tumor type and location
  • Variability in surgical procedures and reconstruction techniques
  • Potential for multiple codes to be applicable based on treatment

Audit Risk Factors

  • Inadequate documentation of tumor type and characteristics
  • Failure to document surgical margins
  • Incorrect coding of the site of the malignancy
  • Lack of follow-up documentation post-surgery

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed descriptions of the lesion, biopsy results, and treatment plans.

Common Clinical Scenarios

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

Billing Considerations

Ensure clear documentation of margins and any additional treatments or follow-ups.

Oncology

Documentation Requirements

Comprehensive treatment plans, including chemotherapy or radiation therapy if applicable.

Common Clinical Scenarios

Management of skin cancer patients, including staging and follow-up care.

Billing Considerations

Document any systemic treatments and their effects on the skin lesions.

Coding Guidelines

Inclusion Criteria

Use C44.692 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the site, type of malignancy, and any treatments performed

Exclusion Criteria

Do NOT use C44.692 When
  • Exclude benign lesions and ensure that the malignancy is confirmed through biopsy

Related ICD-10 Codes

Related CPT Codes

17311CPT Code

Excision, malignant skin lesion

Clinical Scenario

Used when excising a malignant neoplasm from the right upper limb.

Documentation Requirements

Document the size of the lesion and margins.

Specialty Considerations

Dermatologists should ensure clear documentation of the excision site.

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 data accuracy for treatment and outcomes. C44.692 provides granularity that aids in tracking cancer incidence and treatment efficacy.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of skin cancers, improving data accuracy for treatment and outcomes. C44.692 provides granularity that aids in tracking cancer incidence and treatment efficacy.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of skin cancers, improving data accuracy for treatment and outcomes. C44.692 provides granularity that aids in tracking cancer incidence and treatment efficacy.

Resources

Clinical References

  • •
    American Academy of Dermatology

Coding & Billing References

  • •
    American Academy of Dermatology

Frequently Asked Questions

What types of skin cancers are included under C44.692?

C44.692 includes various malignant neoplasms of the skin that are not classified as melanoma or basal cell carcinoma, such as squamous cell carcinoma and other specified types.