ICD-10 Code C4A.52 | Merkel cell carcinoma of skin of breast Symptoms, Diagnosis, Billing

Merkel cell carcinoma of the skin of the breast is a rare and aggressive neuroendocrine tumor that arises from Merkel cells, which are involved in the sensation of touch. This malignancy is clinically significant due to its high potential for metastasis and poor prognosis. Accurate coding with ICD-10 Code C4A.52 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively track and manage this condition.

What is ICD-10 Code C4A.52 for Merkel cell carcinoma of skin of breast?

ICD-10 Code C4A.52 specifically identifies Merkel cell carcinoma of the skin of the breast, a rare but aggressive form of skin cancer. This code should be used in clinical documentation and billing when a patient is diagnosed with this condition, ensuring that healthcare providers can accurately capture the severity and nature of the disease for treatment planning and reimbursement purposes.

ICD-10 Code C4A.52 – Clinical Definition and Explanation of Merkel cell carcinoma of skin of breast

Merkel cell carcinoma of the skin of the breast is primarily caused by exposure to ultraviolet (UV) radiation and is associated with the Merkel cell polyomavirus. The condition can progress rapidly, leading to local invasion and distant metastasis, necessitating prompt medical intervention.

Key Clinical Features:

• Painless, firm nodules or lesions on the breast skin.
• Rapid growth of the tumor, often within weeks to months.
• Possible ulceration or bleeding of the lesion.
• High propensity for lymphatic spread and distant metastasis.

ICD-10 Code C4A.52 for Merkel cell carcinoma of skin of breast – SOAP Notes & Clinical Use

ICD-10 Code C4A.52 is utilized in SOAP notes to document the diagnosis of Merkel cell carcinoma of the skin of the breast. 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 C4A.52 for Merkel cell carcinoma of skin of breast Mean in SOAP Notes?

In SOAP notes, ICD-10 Code C4A.52 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Merkel cell carcinoma of the skin of the breast. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code C4A.52 – Merkel cell carcinoma of skin of breast

Merkel cell carcinoma of the skin of the breast requires urgent medical attention due to its aggressive nature. Treatment typically involves surgical excision, radiation therapy, and may include chemotherapy.

Antibiotic Therapy:

Supportive Care:

• Pain management with analgesics.
• Wound care for surgical sites.
• Psychosocial support for patients and families.

Infection Control:

How to Document Symptoms of Merkel cell carcinoma of skin of breast (ICD-10 C4A.52) in SOAP Notes

Subjective:

• Patient reports a new, painless lump on the breast.
• History of rapid growth of the lesion over the past month.
• No associated pain or tenderness noted.
• Patient expresses concern about the appearance of the lesion.

Objective:

• Physical examination reveals a firm, non-tender nodule on the breast.
• Lesion measures approximately 2 cm in diameter.
• No lymphadenopathy detected in axillary regions.
• Skin over the lesion appears intact with no signs of ulceration.

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SOAP Note Guidelines for Diagnosing Merkel cell carcinoma of skin of breast (ICD-10 Code C4A.52)

Assessment:

• Diagnosis: Merkel cell carcinoma of skin of breast, C4A.52.
• Severity: High due to rapid growth and potential for metastasis.
• Contributing factors: UV exposure, immunosuppression.

Plan:

• Refer to oncology for surgical evaluation and management.
• Consider adjuvant radiation therapy post-surgery.
• Educate patient on signs of recurrence and follow-up care.
• Schedule follow-up appointment in 4 weeks.

Treatment & Plan Section for ICD-10 Code C4A.52 – Merkel cell carcinoma of skin of breast

• Surgical excision of the tumor with clear margins.
• Adjuvant radiation therapy to reduce recurrence risk.
• Chemotherapy may be considered for advanced disease.
• Regular follow-up with imaging to monitor for metastasis.

Using ICD-10 Code C4A.52 for Merkel cell carcinoma of skin of breast in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings.
• Use C4A.52 in all relevant billing and coding submissions.
• Align treatment plans with clinical guidelines for reimbursement.
• Document any comorbidities or complications that may affect care.

Related ICD-10 Codes Often Used with Merkel cell carcinoma of skin of breast

• C4A.51 – Merkel cell carcinoma of skin of head, face, and neck
• C43.9 – Melanoma of skin, unspecified

ICD-10 Code C4A.52 in Medical Billing and Insurance for Merkel cell carcinoma of skin of breast

ICD-10 Code C4A.52 is critical in medical billing, particularly in hospital, ER, or oncology settings.

Billing Notes:

• Document all relevant clinical findings to support the diagnosis.
• Use C4A.52 in conjunction with procedure codes for accurate billing.
• Ensure that all documentation aligns with payer requirements for reimbursement.

Common CPT Pairings: