ICD-10 Code C44.112 | Basal cell carcinoma skin/ right eyelid, including canthus Symptoms, Diagnosis, Billing

Basal cell carcinoma (BCC) is a common skin cancer originating from basal cells in the epidermis. It typically arises due to prolonged sun exposure and is characterized by slow growth. The right eyelid, including the canthus, is a critical area for diagnosis and treatment due to its proximity to the eye. Accurate coding with ICD-10 Code C44.112 is essential for proper diagnosis, documentation, billing, and public health reporting, ensuring appropriate management and resource allocation.

What is ICD-10 Code C44.112 for Basal cell carcinoma skin/ right eyelid, including canthus?

ICD-10 Code C44.112 specifically identifies basal cell carcinoma located on the skin of the right eyelid, including the canthus. This code is used when documenting cases of BCC that affect this particular anatomical site, facilitating accurate billing and clinical management. It is crucial for healthcare providers to use this code when diagnosing and treating patients with this condition to ensure proper reimbursement and adherence to coding standards.

ICD-10 Code C44.112 – Clinical Definition and Explanation of Basal cell carcinoma skin/ right eyelid, including canthus

Basal cell carcinoma of the skin on the right eyelid, including the canthus, is primarily caused by ultraviolet (UV) radiation exposure. This malignancy can progress locally and may lead to significant cosmetic and functional impairment if left untreated. Early detection and intervention are critical to prevent complications.

Key Clinical Features:

• Pearly or waxy nodules on the eyelid
• Ulceration or bleeding at the site
• Crusting or scabbing lesions
• Local invasion without metastasis

ICD-10 Code C44.112 for Basal cell carcinoma skin/ right eyelid, including canthus – SOAP Notes & Clinical Use

ICD-10 Code C44.112 is utilized in SOAP notes to document the presence of basal cell carcinoma on the right eyelid, including the canthus. This code plays a vital role in capturing patient symptoms, assessment findings, and treatment plans, ensuring comprehensive documentation in both acute and chronic care settings.

What Does ICD-10 Code C44.112 for Basal cell carcinoma skin/ right eyelid, including canthus Mean in SOAP Notes?

In SOAP notes, ICD-10 Code C44.112 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of basal cell carcinoma. This code is essential for maintaining continuity of care, supporting accurate billing, and meeting electronic health record documentation standards.

Treatment Options for ICD-10 Code C44.112 – Basal cell carcinoma skin/ right eyelid, including canthus

Timely treatment of basal cell carcinoma on the right eyelid is crucial to prevent local invasion and preserve eyelid function.

Antibiotic Therapy:

• Not applicable for basal cell carcinoma; focus on surgical intervention.

Supportive Care:

• Regular follow-up for monitoring
• Use of sun protection measures
• Patient education on skin care

Infection Control:

• Maintain sterile technique during procedures
• Educate patients on wound care post-treatment

How to Document Symptoms of Basal cell carcinoma skin/ right eyelid, including canthus (ICD-10 C44.112) in SOAP Notes

Subjective:

• Patient reports a new growth on the right eyelid.
• Lesion has been present for several months and has changed in appearance.
• Patient notes occasional bleeding from the lesion.
• No history of trauma to the area.

Objective:

• Examination reveals a pearly nodule on the right eyelid.
• Lesion measures approximately 1 cm in diameter.
• No lymphadenopathy noted.
• No signs of infection or inflammation.

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SOAP Note Guidelines for Diagnosing Basal cell carcinoma skin/ right eyelid, including canthus (ICD-10 Code C44.112)

Assessment:

• Diagnosis: Basal cell carcinoma, right eyelid, including canthus, localized.
• ICD-10 Code: C44.112.
• Contributing factors: Chronic sun exposure.
• Severity: Low risk of metastasis but requires surgical intervention.

Plan:

• Refer to dermatology for excisional biopsy.
• Educate patient on sun protection and skin monitoring.
• Schedule follow-up in 2 weeks to assess healing post-procedure.
• Document findings and treatment in EHR.

Treatment & Plan Section for ICD-10 Code C44.112 – Basal cell carcinoma skin/ right eyelid, including canthus

• Surgical excision is the primary treatment modality.
• Consider Mohs micrographic surgery for cosmetically sensitive areas.
• Educate on the importance of regular skin checks.
• Monitor for recurrence during follow-up visits.

Using ICD-10 Code C44.112 for Basal cell carcinoma skin/ right eyelid, including canthus in Billing & SOAP Note Compliance

• Ensure accurate documentation of the lesion's location and characteristics.
• Use C44.112 in conjunction with procedure codes for surgical interventions.
• Document patient education and follow-up plans to support billing.
• Review coding guidelines to ensure compliance with payer requirements.

Related ICD-10 Codes Often Used with Basal cell carcinoma skin/ right eyelid, including canthus

• C44.119 – Basal cell carcinoma skin, unspecified site
• C44.121 – Basal cell carcinoma skin, left eyelid, including canthus
• C43.9 – Malignant melanoma of skin, unspecified

ICD-10 Code C44.112 in Medical Billing and Insurance for Basal cell carcinoma skin/ right eyelid, including canthus

ICD-10 Code C44.112 is critical for billing purposes in hospital, emergency room, or outpatient settings.

Billing Notes:

• Document the diagnosis clearly in the patient's chart to support claims.
• Use C44.112 in conjunction with relevant CPT codes for procedures performed.
• Ensure all documentation reflects the medical necessity of the treatment provided.
• Review payer-specific guidelines for coding and billing compliance.

Common CPT Pairings: