ICD-10 Code C44.1191 | Basal cell carcinoma skin/ left upper eyelid, inc canthus Symptoms, Diagnosis, Billing

Basal cell carcinoma (BCC) is a common skin cancer originating from basal cells in the epidermis. The left upper eyelid, including the inner canthus, is a frequent site for BCC due to sun exposure. Accurate coding with ICD-10 Code C44.1191 is essential for proper diagnosis, documentation, and billing, ensuring appropriate treatment and facilitating public health reporting.

What is ICD-10 Code C44.1191 for Basal cell carcinoma skin/ left upper eyelid, inc canthus?

ICD-10 Code C44.1191 specifically identifies basal cell carcinoma located on the skin of the left upper eyelid, including the inner canthus. This code is used when documenting cases of BCC in clinical settings, ensuring accurate representation of the condition for billing and treatment planning.

ICD-10 Code C44.1191 – Clinical Definition and Explanation of Basal cell carcinoma skin/ left upper eyelid, inc canthus

Basal cell carcinoma is primarily caused by prolonged exposure to ultraviolet (UV) radiation, leading to mutations in skin cells. It typically presents as a pearly or waxy bump and can invade surrounding tissues if left untreated. Prompt medical attention is crucial to prevent complications.

Key Clinical Features:

• Pearly or waxy nodules on the eyelid
• Possible ulceration or bleeding
• Slow growth rate
• Commonly associated with sun exposure

ICD-10 Code C44.1191 for Basal cell carcinoma skin/ left upper eyelid, inc canthus – SOAP Notes & Clinical Use

ICD-10 Code C44.1191 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. It plays a vital role in both acute and chronic care settings, ensuring comprehensive patient records and facilitating appropriate billing.

What Does ICD-10 Code C44.1191 for Basal cell carcinoma skin/ left upper eyelid, inc canthus Mean in SOAP Notes?

In SOAP notes, ICD-10 Code C44.1191 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 C44.1191 – Basal cell carcinoma skin/ left upper eyelid, inc canthus

Management of basal cell carcinoma on the left upper eyelid requires careful consideration due to the delicate nature of the area. Treatment options may include surgical excision or Mohs micrographic surgery.

Antibiotic Therapy:

• Not applicable for non-infectious BCC

Supportive Care:

• Regular follow-up appointments
• Skin protection measures
• Patient education on UV exposure

Infection Control:

• Maintain sterile technique during procedures
• Educate patients on wound care

How to Document Symptoms of Basal cell carcinoma skin/ left upper eyelid, inc canthus (ICD-10 C44.1191) in SOAP Notes

Subjective:

• Patient reports a painless bump on the left upper eyelid
• History of sun exposure
• No associated pain or itching
• Concern about cosmetic appearance

Objective:

• Examination reveals a pearly nodule on the left upper eyelid
• No signs of inflammation or infection
• Size approximately 1 cm
• No lymphadenopathy noted

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SOAP Note Guidelines for Diagnosing Basal cell carcinoma skin/ left upper eyelid, inc canthus (ICD-10 Code C44.1191)

Assessment:

• Diagnosis: Basal cell carcinoma, left upper eyelid, inc canthus, low severity
• ICD-10 Code: C44.1191
• Contributing factors: History of UV exposure
• No evidence of metastasis

Plan:

• Refer for surgical excision or Mohs surgery
• Educate patient on skin protection and follow-up care
• Schedule follow-up in 6 months for monitoring
• Document treatment plan in EHR

Treatment & Plan Section for ICD-10 Code C44.1191 – Basal cell carcinoma skin/ left upper eyelid, inc canthus

• Surgical excision as first-line treatment
• Consider Mohs micrographic surgery for cosmetic concerns
• Patient education on UV protection and skin monitoring
• Regular follow-up appointments for surveillance

Using ICD-10 Code C44.1191 for Basal cell carcinoma skin/ left upper eyelid, inc canthus in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and findings in SOAP notes
• Use C44.1191 for billing related to surgical procedures
• Align treatment plans with clinical guidelines for justified billing
• Document any complications or additional procedures performed

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

• C44.1192 – Basal cell carcinoma skin, right upper eyelid, inc canthus

ICD-10 Code C44.1191 in Medical Billing and Insurance for Basal cell carcinoma skin/ left upper eyelid, inc canthus

ICD-10 Code C44.1191 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 clinical findings to support the claim
• Use C44.1191 in conjunction with procedure codes for surgical interventions
• Ensure compliance with payer-specific documentation requirements
• Review coding guidelines regularly to maintain accuracy

Common CPT Pairings: