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ICD-10 Code C43.52 | Malignant melanoma of skin of breast Symptoms, Diagnosis, Billing

Malignant melanoma of the skin of the breast is a serious form of skin cancer arising from melanocytes, the pigment-producing cells. This condition is clinically significant due to its potential for metastasis and poor prognosis if not diagnosed early. Accurate coding with ICD-10 Code C43.52 facilitates precise diagnosis, documentation, medical billing, and public health reporting, ensuring appropriate patient management and resource allocation.

What is ICD-10 Code C43.52 for Malignant melanoma of skin of breast?

ICD-10 Code C43.52 specifically denotes malignant melanoma located on the skin of the breast. This code is utilized when documenting cases of melanoma that originate in the breast skin, which may present as a changing mole or skin lesion. It is essential for accurate clinical documentation and billing, particularly in oncology and dermatology settings.

ICD-10 Code C43.52 – Clinical Definition and Explanation of Malignant melanoma of skin of breast

Malignant melanoma of the skin of the breast is primarily caused by ultraviolet (UV) radiation exposure, genetic predisposition, and other environmental factors. The condition can progress rapidly, necessitating prompt medical evaluation and intervention to prevent metastasis. Early detection is crucial for effective treatment.

Key Clinical Features:

  • Asymmetrical, irregularly shaped moles or lesions on the breast.
  • Changes in color, size, or texture of existing moles.
  • Presence of new growths or lesions on the breast skin.
  • Possible ulceration or bleeding from the affected area.

ICD-10 Code C43.52 for Malignant melanoma of skin of breast – SOAP Notes & Clinical Use

ICD-10 Code C43.52 is integral to SOAP notes, aiding in the documentation of patient symptoms, clinical assessments, and treatment plans. It is relevant in both acute and chronic care settings, ensuring comprehensive patient records and facilitating appropriate billing processes.

What Does ICD-10 Code C43.52 for Malignant melanoma of skin of breast Mean in SOAP Notes?

In SOAP notes, ICD-10 Code C43.52 connects subjective patient reports and objective clinical findings to a formal diagnosis of malignant melanoma of the breast skin. This code supports continuity of care, assists in billing processes, and meets EHR documentation standards.

Treatment Options for ICD-10 Code C43.52 – Malignant melanoma of skin of breast

Malignant melanoma of the skin of the breast requires urgent medical attention and often hospitalization for treatment. Surgical excision is the primary treatment modality.

Antibiotic Therapy:

  • Not applicable as melanoma is not an infectious condition.

Supportive Care:

  • Pain management with analgesics.
  • Psychosocial support for patients and families.
  • Wound care post-surgery to prevent infection.

Infection Control:

  • Standard precautions during surgical procedures.
  • Monitoring for signs of infection post-operatively.

How to Document Symptoms of Malignant melanoma of skin of breast (ICD-10 C43.52) in SOAP Notes

Subjective:

  • Patient reports a new, changing mole on the breast.
  • History of increased sun exposure without protection.
  • Family history of skin cancer.
  • Complaints of itching or tenderness in the affected area.

Objective:

  • Physical examination reveals an irregularly shaped lesion.
  • Lesion measures 1.5 cm with varied pigmentation.
  • No lymphadenopathy noted on examination.
  • Dermatoscopic evaluation shows atypical features.
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SOAP Note Guidelines for Diagnosing Malignant melanoma of skin of breast (ICD-10 Code C43.52)

Assessment:

  • Diagnosis: Malignant melanoma of skin of breast, Stage I.
  • ICD-10 Subcode: C43.52.
  • Contributing factors: History of sun exposure and family history of melanoma.
  • Severity: High risk for metastasis if untreated.

Plan:

  • Refer to oncology for surgical evaluation.
  • Consider sentinel lymph node biopsy.
  • Educate patient on skin self-examination.
  • Schedule follow-up in 2 weeks post-surgery.

Treatment & Plan Section for ICD-10 Code C43.52 – Malignant melanoma of skin of breast

  • Surgical excision of the melanoma with clear margins.
  • Adjuvant therapy may be considered based on staging.
  • Regular follow-up appointments for monitoring.
  • Patient education on skin protection and self-examination.

Using ICD-10 Code C43.52 for Malignant melanoma of skin of breast in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and findings in SOAP notes.
  • Use C43.52 in conjunction with relevant CPT codes for surgical procedures.
  • Document patient education and follow-up plans to support billing.
  • Maintain compliance with coding guidelines to avoid denials.

ICD-10 Code C43.52 in Medical Billing and Insurance for Malignant melanoma of skin of breast

ICD-10 Code C43.52 is crucial for accurate billing in hospital, ER, or oncology settings.

Billing Notes:

  • Document all clinical findings and patient history thoroughly.
  • Use C43.52 in the primary diagnosis field for melanoma cases.
  • Ensure all relevant procedures are coded accurately to support claims.
  • Review payer-specific guidelines for documentation requirements.

Common CPT Pairings:

CPT CodeDescription
11600Excision, malignant skin lesion, face, ears, scalp, neck; excised diameter excised 0.5 cm or less.
11601Excision, malignant skin lesion, face, ears, scalp, neck; excised diameter excised 0.6 to 1.0 cm.
38500Biopsy or excision of lymph nodes.
99203Office or other outpatient visit for evaluation and management of a new patient.

Frequently Asked Questions

Common Questions About Using ICD-10 Code C43.52 for Malignant melanoma of skin of breast

What are the risk factors for malignant melanoma of the breast?

Risk factors include a history of excessive sun exposure, fair skin, family history of melanoma, and the presence of atypical moles. Regular skin checks are essential for early detection.

How is malignant melanoma of the breast diagnosed?

Diagnosis typically involves a physical examination, dermatoscopic evaluation, and biopsy of the lesion. Pathological examination confirms the diagnosis.

What treatments are available for malignant melanoma of the breast?

Treatment usually involves surgical excision of the melanoma. Depending on the stage, additional therapies such as immunotherapy or targeted therapy may be indicated.

Is malignant melanoma of the breast common?

Malignant melanoma of the breast is rare compared to other skin cancers. However, it is important to monitor any changes in breast skin lesions.

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