ICD-10 Code C44.1122 | Basal cell carcinoma skin/ right lower eyelid, inc canthus Symptoms, Diagnosis, Billing

Basal cell carcinoma (BCC) is a common skin cancer originating from basal cells in the epidermis. The right lower eyelid, including the inner canthus, is a frequent site for BCC due to sun exposure. Accurate coding with ICD-10 Code C44.1122 is essential for proper diagnosis, documentation, and billing, facilitating effective treatment and public health reporting.

What is ICD-10 Code C44.1122 for Basal cell carcinoma skin/ right lower eyelid, inc canthus?

ICD-10 Code C44.1122 specifically identifies basal cell carcinoma located on the skin of the right lower eyelid, including the inner canthus. This code is used in clinical documentation and billing to denote the presence of this malignancy, ensuring accurate treatment planning and reimbursement for healthcare services.

ICD-10 Code C44.1122 – Clinical Definition and Explanation of Basal cell carcinoma skin/ right lower eyelid, inc canthus

Basal cell carcinoma of the right lower eyelid, including the inner canthus, is primarily caused by prolonged ultraviolet (UV) exposure, leading to mutations in skin cells. This condition can progress locally and may invade surrounding tissues if left untreated, necessitating prompt medical attention.

Key Clinical Features:

• Typically presents as a pearly or waxy bump on the skin.
• May exhibit ulceration or crusting in advanced cases.
• Commonly occurs in individuals with fair skin and a history of sun exposure.
• Slow-growing and rarely metastasizes, but can cause local tissue destruction.

ICD-10 Code C44.1122 for Basal cell carcinoma skin/ right lower eyelid, inc canthus – SOAP Notes & Clinical Use

ICD-10 Code C44.1122 is utilized in SOAP notes to document the diagnosis of basal cell carcinoma on the right lower eyelid. It plays a crucial role in capturing patient symptoms, assessment findings, and treatment plans, relevant in both acute and chronic care settings.

What Does ICD-10 Code C44.1122 for Basal cell carcinoma skin/ right lower eyelid, inc canthus Mean in SOAP Notes?

In SOAP notes, ICD-10 Code C44.1122 connects subjective patient reports and objective clinical findings to a formal diagnosis of basal cell carcinoma. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code C44.1122 – Basal cell carcinoma skin/ right lower eyelid, inc canthus

Timely intervention for basal cell carcinoma is critical to prevent local invasion and complications. Treatment options vary based on tumor size and location.

Antibiotic Therapy:

• Not applicable as basal cell carcinoma is not an infectious condition.

Supportive Care:

• Regular dermatological follow-ups to monitor for recurrence.
• Use of sun protection measures to prevent further skin damage.
• Patient education on skin self-examinations for early detection.

Infection Control:

• Maintain sterile technique during surgical interventions.
• Educate patients on wound care post-excision to prevent infection.

How to Document Symptoms of Basal cell carcinoma skin/ right lower eyelid, inc canthus (ICD-10 C44.1122) in SOAP Notes

Subjective:

• Patient reports a painless bump on the right lower eyelid.
• History of sun exposure and previous skin cancers.
• Noticed changes in the lesion over the past few months.
• Denies any itching or bleeding from the lesion.

Objective:

• Physical examination reveals a 1 cm pearly nodule on the right lower eyelid.
• No lymphadenopathy noted in the cervical region.
• Dermatoscopic examination shows telangiectasia and ulceration.
• Vital signs stable with no acute distress.

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SOAP Note Guidelines for Diagnosing Basal cell carcinoma skin/ right lower eyelid, inc canthus (ICD-10 Code C44.1122)

Assessment:

• Diagnosis: Basal cell carcinoma, right lower eyelid, inc canthus, localized.
• ICD-10 Code: C44.1122.
• Contributing factors: History of sun exposure and fair skin.
• Severity: Low risk of metastasis but potential for local invasion.

Plan:

• Refer to dermatology for Mohs micrographic surgery.
• Educate patient on sun protection and skin monitoring.
• Schedule follow-up in 6 months for re-evaluation.
• Document treatment plan in EHR for billing purposes.

Treatment & Plan Section for ICD-10 Code C44.1122 – Basal cell carcinoma skin/ right lower eyelid, inc canthus

• Surgical excision is the primary treatment for localized basal cell carcinoma.
• Consider Mohs micrographic surgery for cosmetically sensitive areas.
• Topical chemotherapy may be an option for superficial lesions.
• Regular follow-up appointments to monitor for recurrence.

Using ICD-10 Code C44.1122 for Basal cell carcinoma skin/ right lower eyelid, inc canthus in Billing & SOAP Note Compliance

• Ensure accurate documentation of lesion characteristics in Subjective (S) and Objective (O) sections.
• Use C44.1122 for all encounters related to this diagnosis for consistent billing.
• Align treatment plans with clinical guidelines to support reimbursement.
• Include relevant CPT codes for procedures performed in conjunction with this diagnosis.

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

• C44.119 – Basal cell carcinoma skin, unspecified site
• C44.121 – Basal cell carcinoma skin, right upper eyelid, inc canthus
• C44.122 – Basal cell carcinoma skin, left upper eyelid, inc canthus

ICD-10 Code C44.1122 in Medical Billing and Insurance for Basal cell carcinoma skin/ right lower eyelid, inc canthus

ICD-10 Code C44.1122 is crucial for accurate billing in hospital, ER, or outpatient settings, ensuring proper reimbursement for services rendered.

Billing Notes:

• Document all relevant patient history and examination findings to support the diagnosis.
• Use C44.1122 in conjunction with procedure codes for surgical interventions.
• Ensure compliance with payer-specific guidelines for coding and billing.
• Review documentation for completeness before submission to avoid denials.

Common CPT Pairings: