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ICD-10 Guide
ICD-10 CodesD03.72

D03.72

Billable

Melanoma in situ of left lower limb, including hip

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

Code Description

ICD-10 D03.72 is a billable code used to indicate a diagnosis of melanoma in situ of left lower limb, including hip.

Key Diagnostic Point:

Melanoma in situ is a type of skin cancer characterized by the uncontrolled growth of melanocytes, the pigment-producing cells in the skin. When classified as 'in situ,' it indicates that the cancerous cells are confined to the epidermis and have not invaded deeper tissues. The left lower limb, including the hip, is a specific anatomical site where this condition can occur. Patients may present with a variety of symptoms, including changes in existing moles, the appearance of new pigmented lesions, or asymptomatic spots that may be irregular in shape or color. Diagnosis typically involves a thorough skin examination and may be confirmed through a biopsy. Surveillance protocols for melanoma in situ often include regular skin checks, patient education on self-examination, and monitoring for any changes in the lesions. The risk of progression to invasive melanoma is a concern, particularly if the lesions are not adequately monitored or treated. Early detection and intervention are crucial to prevent progression and improve patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of anatomical location (left lower limb, including hip)
  • Need for precise documentation of lesion characteristics
  • Differentiation from other skin lesions
  • Potential for progression to invasive melanoma

Audit Risk Factors

  • Inadequate documentation of lesion characteristics
  • Failure to document surveillance protocols
  • Misclassification of lesion type
  • Lack of follow-up notes on progression

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed descriptions of the lesion, including size, shape, color, and any changes over time.

Common Clinical Scenarios

Diagnosis and management of melanoma in situ, follow-up visits for monitoring lesions.

Billing Considerations

Ensure thorough documentation of biopsy results and treatment plans.

Oncology

Documentation Requirements

Comprehensive treatment plans, including surgical interventions and follow-up care.

Common Clinical Scenarios

Management of patients with melanoma in situ, including discussions of potential progression.

Billing Considerations

Document any multidisciplinary approaches to treatment and patient education.

Coding Guidelines

Inclusion Criteria

Use D03.72 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the diagnosis and any associated procedures
  • Include details on the location and characteristics of the melanoma in situ

Exclusion Criteria

Do NOT use D03.72 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

11600CPT Code

Excision, malignant skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm

Clinical Scenario

Used when excising a melanoma in situ from the left lower limb.

Documentation Requirements

Document the size of the lesion, excised margins, and pathology results.

Specialty Considerations

Dermatologists should ensure that the excision is well-documented to support the coding.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of melanoma in situ, improving the accuracy of data collection and enhancing patient care through better tracking of disease progression.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of melanoma in situ, improving the accuracy of data collection and enhancing patient care through better tracking of disease progression.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of melanoma in situ, improving the accuracy of data collection and enhancing patient care through better tracking of disease progression.

Resources

Clinical References

  • •
    American Academy of Dermatology

Coding & Billing References

  • •
    American Academy of Dermatology

Frequently Asked Questions

What is the difference between melanoma in situ and invasive melanoma?

Melanoma in situ is confined to the epidermis and has not invaded deeper tissues, while invasive melanoma has penetrated beyond the epidermis into the dermis or deeper layers.