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ICD-10 Guide
ICD-10 CodesD23.12

D23.12

Billable

Other benign neoplasm of skin of left eyelid, including canthus

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

Code Description

ICD-10 D23.12 is a billable code used to indicate a diagnosis of other benign neoplasm of skin of left eyelid, including canthus.

Key Diagnostic Point:

D23.12 refers to a benign neoplasm located on the skin of the left eyelid, which may include the canthus (the corner of the eye). Benign neoplasms of the skin can manifest as various types of growths, including but not limited to seborrheic keratosis, dermatofibromas, and lipomas. These lesions are typically non-cancerous and may present as raised or flat lesions that vary in color and texture. While they are generally asymptomatic, some patients may seek treatment for cosmetic reasons or if the growth interferes with vision or causes irritation. Diagnosis is usually made through clinical examination, and in some cases, a biopsy may be performed to confirm the benign nature of the lesion. Management often involves monitoring the lesion for changes, and surgical excision may be considered if the neoplasm becomes bothersome or shows signs of atypical features. Follow-up care is essential to ensure that the lesion remains stable and to monitor for any potential changes that could indicate malignancy.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of location (left eyelid, including canthus)
  • Differentiation from malignant neoplasms
  • Potential for multiple benign neoplasms in the same area
  • Need for accurate documentation of size and characteristics

Audit Risk Factors

  • Inadequate documentation of the lesion's characteristics
  • Failure to specify the exact location on the eyelid
  • Misclassification as malignant neoplasm
  • Lack of follow-up documentation post-treatment

Specialty Focus

Medical Specialties

Ophthalmology

Documentation Requirements

Detailed description of the lesion, including size, color, and any symptoms.

Common Clinical Scenarios

Patients presenting with eyelid lesions for evaluation, cosmetic concerns, or irritation.

Billing Considerations

Ensure clear documentation of the lesion's impact on vision and any associated symptoms.

Dermatology

Documentation Requirements

Comprehensive skin examination notes, including photographs if applicable.

Common Clinical Scenarios

Patients with multiple skin lesions seeking evaluation or removal.

Billing Considerations

Document the history of the lesion and any changes over time.

Coding Guidelines

Inclusion Criteria

Use D23.12 When
  • According to ICD
  • 10 guidelines, D23
  • 12 should be used when the neoplasm is confirmed as benign and located specifically on the left eyelid

Exclusion Criteria

Do NOT use D23.12 When
  • Exclusion criteria include any malignant lesions or lesions that do not meet the criteria for benign neoplasms

Related ICD-10 Codes

Related CPT Codes

11400CPT Code

Excision, benign skin lesion

Clinical Scenario

Used when excising a benign neoplasm from the left eyelid.

Documentation Requirements

Document the size, location, and type of lesion excised.

Specialty Considerations

Ophthalmologists should ensure that the excision does not compromise eyelid function.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of patient records and facilitating better management of these conditions. D23.12 provides a clear distinction for neoplasms located on the left eyelid, which aids in treatment planning and insurance reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of patient records and facilitating better management of these conditions. D23.12 provides a clear distinction for neoplasms located on the left eyelid, which aids in treatment planning and insurance reimbursement.

Reimbursement & Billing Impact

reimbursement.

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 benign and malignant neoplasms?

Benign neoplasms are non-cancerous growths that do not invade surrounding tissues or metastasize, while malignant neoplasms are cancerous and can spread to other parts of the body.