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ICD-10 Guide
ICD-10 CodesD23.4

D23.4

Billable

Other benign neoplasm of skin of scalp and neck

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

Code Description

ICD-10 D23.4 is a billable code used to indicate a diagnosis of other benign neoplasm of skin of scalp and neck.

Key Diagnostic Point:

D23.4 refers to benign neoplasms of the skin located specifically on the scalp and neck. These neoplasms can include a variety of growths such as dermatofibromas, seborrheic keratoses, and other non-cancerous tumors. Clinically, these lesions may present as asymptomatic or may cause discomfort depending on their size and location. They are typically diagnosed through physical examination and may require biopsy for definitive diagnosis. Management often involves monitoring for changes, surgical excision if symptomatic or for cosmetic reasons, and patient education regarding skin care and sun protection. Follow-up care is essential to monitor for any changes in the lesions, as well as to ensure that no malignant transformation occurs. The benign nature of these neoplasms generally leads to a favorable prognosis, but awareness of their characteristics and potential complications is crucial for effective management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of benign neoplasms that can fall under this code
  • Need for accurate documentation of lesion characteristics
  • Potential for misclassification with malignant neoplasms
  • Variability in treatment approaches based on patient preference

Audit Risk Factors

  • Inadequate documentation of lesion characteristics
  • Failure to document follow-up care
  • Misuse of codes for malignant lesions
  • Inconsistent coding practices among providers

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed descriptions of the lesion, including size, color, and texture, as well as any symptoms.

Common Clinical Scenarios

Patients presenting with asymptomatic skin lesions for evaluation or cosmetic concerns.

Billing Considerations

Ensure that any excised lesions are sent for pathology to confirm benign nature.

Plastic Surgery

Documentation Requirements

Surgical notes detailing the procedure performed, including indications for excision.

Common Clinical Scenarios

Patients seeking surgical removal of benign lesions for cosmetic reasons.

Billing Considerations

Document the rationale for surgery and any patient preferences regarding cosmetic outcomes.

Coding Guidelines

Inclusion Criteria

Use D23.4 When
  • According to ICD
  • 10 coding guidelines, D23
  • 4 should be used for benign neoplasms that do not have a more specific code
  • Coders should ensure that the diagnosis is supported by clinical documentation and that the lesion is confirmed as benign

Exclusion Criteria

Do NOT use D23.4 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

11400CPT Code

Excision, benign lesion

Clinical Scenario

Used when excising a benign neoplasm from the scalp or neck.

Documentation Requirements

Surgical notes must detail the procedure, including size and location of the lesion.

Specialty Considerations

Dermatologists and plastic surgeons should ensure accurate coding based on the excised lesion.

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 diagnoses and treatment plans. D23.4 provides a clear classification for benign neoplasms of the scalp and neck, facilitating better patient management and billing processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of diagnoses and treatment plans. D23.4 provides a clear classification for benign neoplasms of the scalp and neck, facilitating better patient management and billing processes.

Reimbursement & Billing Impact

billing processes.

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 types of lesions are included under D23.4?

D23.4 includes various benign neoplasms such as dermatofibromas, seborrheic keratoses, and other non-cancerous skin tumors located on the scalp and neck.