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ICD-10 Guide
ICD-10 CodesD23.6

D23.6

Billable

Other benign neoplasm of skin of upper limb, including shoulder

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

Code Description

ICD-10 D23.6 is a billable code used to indicate a diagnosis of other benign neoplasm of skin of upper limb, including shoulder.

Key Diagnostic Point:

D23.6 refers to benign neoplasms of the skin located specifically on the upper limb, including the shoulder. These neoplasms can include a variety of skin lesions such as dermatofibromas, lipomas, and other non-cancerous growths. Clinically, these lesions may present as asymptomatic masses or may cause discomfort depending on their size and location. Diagnosis typically involves a thorough clinical examination, and in some cases, a biopsy may be performed to confirm the benign nature of the lesion. Management often includes observation, surgical excision, or other dermatological treatments, depending on the patient's symptoms and the characteristics of the neoplasm. Follow-up care is essential to monitor for any changes in the lesion's appearance or symptoms, ensuring that any potential complications are addressed promptly. Regular skin checks are recommended for patients with a history of skin neoplasms to detect any new lesions early.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of benign neoplasms that can be coded under this category
  • Need for precise documentation to differentiate from malignant neoplasms
  • Potential for overlapping symptoms with other skin conditions
  • Variability in treatment approaches based on lesion characteristics

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

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

Common Clinical Scenarios

Evaluation of a patient presenting with a new skin lesion on the upper limb.

Billing Considerations

Ensure that the documentation clearly states the benign nature of the neoplasm and any treatment provided.

Oncology

Documentation Requirements

Comprehensive history and physical examination notes, including any previous skin cancers.

Common Clinical Scenarios

Follow-up visits for patients with a history of skin neoplasms.

Billing Considerations

Differentiation between benign and malignant lesions is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use D23.6 When
  • According to ICD
  • 10 coding guidelines, D23
  • 6 should be used when the neoplasm is confirmed as benign through clinical evaluation or biopsy
  • Coders must ensure that the documentation supports the diagnosis and that the lesion is not classified under malignant neoplasms

Exclusion Criteria

Do NOT use D23.6 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 upper limb.

Documentation Requirements

Operative report detailing the procedure, size of the lesion, and margins.

Specialty Considerations

Dermatologists should ensure that the excision is documented as complete with clear margins.

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 data collection and reimbursement processes. D23.6 provides a clear distinction for coders to identify benign lesions of the upper limb, which aids in clinical management and research.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of data collection and reimbursement processes. D23.6 provides a clear distinction for coders to identify benign lesions of the upper limb, which aids in clinical management and research.

Reimbursement & Billing Impact

reimbursement processes. D23.6 provides a clear distinction for coders to identify benign lesions of the upper limb, which aids in clinical management and research.

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 D23.6?

D23.6 includes various benign skin neoplasms such as dermatofibromas, lipomas, and other non-cancerous growths located on the upper limb and shoulder.

How can I ensure accurate coding for D23.6?

Accurate coding for D23.6 requires detailed documentation of the lesion's characteristics, location, and any treatment provided. Ensure that the diagnosis is supported by clinical notes and, if applicable, biopsy results.