ICD-10 Code D04.71 | Carcinoma in situ of skin of right lower limb, including hip Symptoms, Diagnosis, Billing

Carcinoma in situ of the skin of the right lower limb, including the hip, is a localized form of skin cancer characterized by abnormal cell growth confined to the epidermis. This condition is primarily caused by prolonged sun exposure, genetic predisposition, or exposure to carcinogenic substances. Accurate coding with ICD-10 Code D04.71 is essential for precise diagnosis, documentation, medical billing, and public health reporting, ensuring appropriate treatment and resource allocation.

What is ICD-10 Code D04.71 for Carcinoma in situ of skin of right lower limb, including hip?

ICD-10 Code D04.71 represents carcinoma in situ of the skin specifically located on the right lower limb, including the hip. This code is used when documenting cases of non-invasive skin cancer that has not yet spread beyond the epidermis. It is crucial for clinical documentation and billing, particularly when distinguishing between different types of skin lesions and ensuring appropriate treatment plans.

ICD-10 Code D04.71 – Clinical Definition and Explanation of Carcinoma in situ of skin of right lower limb, including hip

Carcinoma in situ of the skin of the right lower limb, including the hip, is a significant dermatological condition that requires prompt medical attention. It arises from the uncontrolled growth of abnormal skin cells, often linked to UV radiation exposure. Early detection and treatment are vital to prevent progression to invasive cancer.

Key Clinical Features:

• Typically presents as a scaly, red patch or a non-healing sore.
• Commonly associated with sun exposure and fair skin types.
• May be asymptomatic but can cause itching or discomfort.
• Requires biopsy for definitive diagnosis.

ICD-10 Code D04.71 for Carcinoma in situ of skin of right lower limb, including hip – SOAP Notes & Clinical Use

ICD-10 Code D04.71 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans related to carcinoma in situ of the skin. This code is relevant in both acute and chronic care settings, facilitating accurate clinical workflows and ensuring comprehensive patient care.

What Does ICD-10 Code D04.71 for Carcinoma in situ of skin of right lower limb, including hip Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D04.71 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of carcinoma in situ. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code D04.71 – Carcinoma in situ of skin of right lower limb, including hip

Prompt treatment of carcinoma in situ of the skin is crucial to prevent progression to invasive cancer. Surgical excision is the primary treatment modality.

Antibiotic Therapy:

Supportive Care:

• Regular follow-up appointments for monitoring.
• Patient education on sun protection and skin care.
• Emotional support and counseling if needed.

Infection Control:

How to Document Symptoms of Carcinoma in situ of skin of right lower limb, including hip (ICD-10 D04.71) in SOAP Notes

Subjective:

• Patient reports a persistent red patch on the right lower limb.
• History of sun exposure and previous skin lesions.
• No pain or discomfort reported at the site.
• Patient expresses concern about skin changes.

Objective:

• Physical examination reveals a scaly, erythematous lesion on the right lower limb.
• No lymphadenopathy noted.
• Dermatoscopic examination shows atypical keratinocytes.
• Biopsy results confirm carcinoma in situ.

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

SOAP Note Guidelines for Diagnosing Carcinoma in situ of skin of right lower limb, including hip (ICD-10 Code D04.71)

Assessment:

• Diagnosis: Carcinoma in situ of skin of right lower limb, including hip, classified as non-invasive.
• ICD-10 Code: D04.71.
• Contributing factors: History of sun exposure and fair skin type.
• Severity: Low, but requires monitoring and treatment.

Plan:

• Surgical excision of the lesion to ensure complete removal.
• Educate patient on sun protection measures.
• Schedule follow-up in 6 months for monitoring.
• Consider referral to dermatology for further management.

Treatment & Plan Section for ICD-10 Code D04.71 – Carcinoma in situ of skin of right lower limb, including hip

• Surgical excision is the first-line treatment.
• Topical chemotherapy may be considered in select cases.
• Patient education on skin care and sun protection is essential.
• Regular follow-up appointments for monitoring are necessary.

Using ICD-10 Code D04.71 for Carcinoma in situ of skin of right lower limb, including hip in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings.
• Use the code in conjunction with treatment codes for billing.
• Maintain compliance with EHR documentation standards.
• Document any patient education provided during visits.

Related ICD-10 Codes Often Used with Carcinoma in situ of skin of right lower limb, including hip

• D04.70 – Carcinoma in situ of skin, unspecified site
• C44.119 – Skin cancer, unspecified, right lower limb
• C43.9 – Melanoma of skin, unspecified
• D03.9 – Melanoma in situ, unspecified

ICD-10 Code D04.71 in Medical Billing and Insurance for Carcinoma in situ of skin of right lower limb, including hip

ICD-10 Code D04.71 is critical in medical billing, particularly in hospital and outpatient settings, ensuring accurate claims for skin cancer treatment.

Billing Notes:

• Document all clinical findings and treatment plans clearly.
• Use this code in conjunction with procedure codes for surgical interventions.
• Ensure that the diagnosis is supported by clinical evidence in the patient's chart.
• Review payer-specific guidelines for coding and billing compliance.

Common CPT Pairings: