ICD-10 Code C44.1391 | Sebaceous cell carcinoma skin/ left upr eyelid, inc canthus Symptoms, Diagnosis, Billing

Sebaceous cell carcinoma is a rare type of skin cancer originating from sebaceous glands, often presenting on the eyelids. The left upper eyelid, including the inner canthus, is a common site for this malignancy. Accurate coding with ICD-10 Code C44.1391 is essential for proper diagnosis, documentation, and billing, ensuring appropriate treatment and public health reporting.

What is ICD-10 Code C44.1391 for Sebaceous cell carcinoma skin/ left upr eyelid, inc canthus?

ICD-10 Code C44.1391 specifically identifies sebaceous cell carcinoma located on the skin of the left upper eyelid, including the inner canthus. This code is used in clinical documentation and billing to denote the presence of this malignancy, facilitating accurate treatment planning and reimbursement processes.

ICD-10 Code C44.1391 – Clinical Definition and Explanation of Sebaceous cell carcinoma skin/ left upr eyelid, inc canthus

Sebaceous cell carcinoma is a malignant tumor arising from sebaceous glands, characterized by abnormal growth of sebaceous cells. This condition can progress locally and may metastasize if not treated promptly. Medical attention is crucial for early detection and management.

Key Clinical Features:

• Typically presents as a painless, nodular lesion on the eyelid.
• May exhibit ulceration or crusting as it progresses.
• Commonly affects older adults, with a higher incidence in individuals with a history of skin cancer.
• Can lead to significant cosmetic and functional impairment if untreated.

ICD-10 Code C44.1391 for Sebaceous cell carcinoma skin/ left upr eyelid, inc canthus – SOAP Notes & Clinical Use

ICD-10 Code C44.1391 is utilized in SOAP notes to document the diagnosis of sebaceous cell carcinoma on the left upper eyelid. It plays a vital role in capturing patient symptoms, assessment findings, and treatment plans, relevant in both acute and chronic care settings.

What Does ICD-10 Code C44.1391 for Sebaceous cell carcinoma skin/ left upr eyelid, inc canthus Mean in SOAP Notes?

In SOAP notes, ICD-10 Code C44.1391 connects subjective patient reports and objective clinical findings to a formal diagnosis of sebaceous cell carcinoma. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code C44.1391 – Sebaceous cell carcinoma skin/ left upr eyelid, inc canthus

Management of sebaceous cell carcinoma typically involves surgical excision. Prompt treatment is essential to prevent complications.

Antibiotic Therapy:

• Not applicable as this is not an infectious condition.

Supportive Care:

• Regular follow-up for monitoring recurrence.
• Wound care post-surgery to prevent infection.
• Referral to oncology for advanced cases.

Infection Control:

• Standard precautions during surgical procedures.
• Patient education on signs of infection post-operatively.

How to Document Symptoms of Sebaceous cell carcinoma skin/ left upr eyelid, inc canthus (ICD-10 C44.1391) in SOAP Notes

Subjective:

• Patient reports a painless lump on the left upper eyelid.
• History of skin cancer in the past.
• No associated pain or itching noted.
• Patient expresses concern about cosmetic appearance.

Objective:

• Physical examination reveals a 1 cm nodular lesion on the left upper eyelid.
• Lesion appears ulcerated with crusting.
• No lymphadenopathy observed.
• Vital signs stable.

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SOAP Note Guidelines for Diagnosing Sebaceous cell carcinoma skin/ left upr eyelid, inc canthus (ICD-10 Code C44.1391)

Assessment:

• Diagnosis: Sebaceous cell carcinoma, left upper eyelid, inc canthus, moderate severity.
• ICD-10 Code: C44.1391.
• Contributing factors: History of skin cancer, sun exposure.

Plan:

• Surgical excision of the lesion.
• Post-operative follow-up in 2 weeks.
• Educate patient on skin protection and monitoring for new lesions.

Treatment & Plan Section for ICD-10 Code C44.1391 – Sebaceous cell carcinoma skin/ left upr eyelid, inc canthus

• Surgical excision is the primary treatment modality.
• Consider Mohs micrographic surgery for complete margin control.
• Educate on sun protection and skin monitoring.
• Schedule regular follow-up appointments for surveillance.

Using ICD-10 Code C44.1391 for Sebaceous cell carcinoma skin/ left upr eyelid, inc canthus in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in SOAP notes.
• Use C44.1391 in settings where surgical intervention is planned.
• Align treatment plans with clinical guidelines to support billing.
• Document any relevant patient history that may affect treatment decisions.

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

• C44.119 – Basal cell carcinoma skin, unspecified
• C43.9 – Melanoma skin, unspecified
• C44.199 – Other specified malignant neoplasm of skin

ICD-10 Code C44.1391 in Medical Billing and Insurance for Sebaceous cell carcinoma skin/ left upr eyelid, inc canthus

ICD-10 Code C44.1391 is crucial for billing in hospital and outpatient settings, ensuring accurate reimbursement for services rendered.

Billing Notes:

• Document all relevant clinical findings and treatment plans to support the claim.
• Use C44.1391 in conjunction with surgical CPT codes for accurate billing.
• Ensure that the diagnosis is clearly linked to the treatment provided.

Common CPT Pairings: