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ICD-10 Guide
ICD-10 CodesD23.112

D23.112

Billable

Other benign neoplasm of skin of right lower eyelid, including canthus

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

Code Description

ICD-10 D23.112 is a billable code used to indicate a diagnosis of other benign neoplasm of skin of right lower eyelid, including canthus.

Key Diagnostic Point:

D23.112 refers to a benign neoplasm located on the skin of the right lower eyelid, including the canthus. Benign neoplasms are non-cancerous growths that can arise from various skin cells, including keratinocytes, melanocytes, and fibroblasts. These neoplasms can present as nodules, plaques, or other forms and may vary in color, texture, and size. Common types of benign skin neoplasms include seborrheic keratosis, dermatofibromas, and lipomas. The right lower eyelid is a sensitive area, and management often requires careful consideration to avoid complications such as scarring or functional impairment of the eyelid. Treatment may involve surgical excision, cryotherapy, or laser therapy, depending on the size and type of the neoplasm. Follow-up care is essential to monitor for recurrence and to ensure proper healing, particularly given the delicate nature of the eyelid skin.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of location (right lower eyelid)
  • Differentiation from malignant neoplasms
  • Variability in benign neoplasm types
  • Potential for cosmetic and functional implications

Audit Risk Factors

  • Inadequate documentation of the neoplasm type
  • Failure to specify the exact location
  • Lack of follow-up notes on treatment outcomes
  • Misclassification as malignant neoplasm

Specialty Focus

Medical Specialties

Ophthalmology

Documentation Requirements

Detailed descriptions of the neoplasm, treatment methods, and follow-up care.

Common Clinical Scenarios

Management of benign eyelid lesions, pre-operative assessments, and post-operative follow-ups.

Billing Considerations

Documentation must include visual assessments and any functional impacts on vision or eyelid movement.

Dermatology

Documentation Requirements

Histopathological reports, descriptions of the lesion's characteristics, and treatment plans.

Common Clinical Scenarios

Diagnosis and treatment of skin lesions, including biopsies and excisions.

Billing Considerations

Ensure accurate coding based on histological findings and clinical presentation.

Coding Guidelines

Inclusion Criteria

Use D23.112 When
  • According to ICD
  • 10 guidelines, D23
  • 112 should be used when a benign neoplasm is confirmed through clinical evaluation or histopathology
  • It is important to document the specific site and type of neoplasm accurately

Exclusion Criteria

Do NOT use D23.112 When
  • Exclusions include malignant neoplasms and unspecified neoplasms

Related ICD-10 Codes

Related CPT Codes

11400CPT Code

Excision, benign lesion, face, ears, eyelids

Clinical Scenario

Used when excising a benign neoplasm from the right lower eyelid.

Documentation Requirements

Operative report detailing the excision and pathology report confirming benign nature.

Specialty Considerations

Ophthalmologists must document the functional impact of the lesion on eyelid movement.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding benign neoplasms, including those on the eyelids. This specificity aids in better tracking of treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding benign neoplasms, including those on the eyelids. This specificity aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding benign neoplasms, including those on the eyelids. This specificity aids in better tracking of treatment outcomes and resource allocation.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between D23.112 and D23.111?

D23.112 is specific to benign neoplasms of the right lower eyelid, while D23.111 pertains to the left lower eyelid. Accurate coding requires attention to the specific location of the neoplasm.