ICD-10 Code D23.111 | Other benign neoplasm skin/ right upper eyelid, inc canthus Symptoms, Diagnosis, Billing

Other benign neoplasms of the skin, such as seborrheic keratosis or dermatofibroma, can occur on the right upper eyelid, including the inner canthus. These lesions are typically non-cancerous and may arise from various factors, including genetic predisposition and environmental influences. Accurate coding with ICD-10 Code D23.111 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring appropriate treatment and follow-up.

What is ICD-10 Code D23.111 for Other benign neoplasm skin/ right upper eyelid, inc canthus?

ICD-10 Code D23.111 represents a diagnosis of other benign neoplasm of the skin located on the right upper eyelid, including the inner canthus. This code is used when documenting non-malignant skin growths that may require monitoring or treatment. It is important for accurate clinical documentation and billing, particularly in outpatient and surgical settings.

ICD-10 Code D23.111 – Clinical Definition and Explanation of Other benign neoplasm skin/ right upper eyelid, inc canthus

Other benign neoplasms of the skin on the right upper eyelid, including the inner canthus, are typically slow-growing lesions that may not present significant symptoms. However, they can cause cosmetic concerns or irritation. Medical evaluation is necessary to rule out malignancy and determine the appropriate management.

Key Clinical Features:

• Painless, slow-growing lesion on the eyelid
• May present as a raised, pigmented, or flesh-colored bump
• Typically asymptomatic but can cause irritation or cosmetic concerns
• Requires differential diagnosis to exclude malignant conditions

ICD-10 Code D23.111 for Other benign neoplasm skin/ right upper eyelid, inc canthus – SOAP Notes & Clinical Use

ICD-10 Code D23.111 is utilized in SOAP notes to document the presence of a benign neoplasm on the right upper eyelid. It plays a crucial role in capturing the patient's symptoms, assessment findings, and treatment plans, relevant in both acute and chronic care settings.

What Does ICD-10 Code D23.111 for Other benign neoplasm skin/ right upper eyelid, inc canthus Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D23.111 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of a benign neoplasm. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code D23.111 – Other benign neoplasm skin/ right upper eyelid, inc canthus

Management of benign neoplasms on the eyelid may vary based on the lesion's characteristics and patient preferences. Surgical excision is often the primary treatment.

Antibiotic Therapy:

• Not typically indicated unless secondary infection occurs.
• Consider topical antibiotics if excision is performed.
• Duration of therapy usually 5-7 days post-procedure.

Supportive Care:

• Monitor for changes in size, color, or symptoms.
• Educate patients on signs of infection or malignancy.
• Provide reassurance regarding benign nature.

Infection Control:

• Maintain sterile technique during procedures.
• Instruct patients on wound care post-excision.
• Advise on signs of infection to report immediately.

How to Document Symptoms of Other benign neoplasm skin/ right upper eyelid, inc canthus (ICD-10 D23.111) in SOAP Notes

Subjective:

• Patient reports a painless bump on the right upper eyelid.
• No history of trauma or recent changes in the lesion.
• Cosmetic concerns noted by the patient.
• No associated symptoms such as itching or discharge.

Objective:

• Physical examination reveals a 0.5 cm raised lesion on the right upper eyelid.
• Lesion is well-defined, non-tender, and mobile.
• No signs of inflammation or infection.
• Visual acuity and ocular motility are normal.

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SOAP Note Guidelines for Diagnosing Other benign neoplasm skin/ right upper eyelid, inc canthus (ICD-10 Code D23.111)

Assessment:

• Diagnosis: Other benign neoplasm of the skin, right upper eyelid (ICD-10 D23.111).
• Severity: Benign, non-malignant.
• Common triggers: Genetic predisposition, sun exposure.
• No evidence of malignancy noted during examination.

Plan:

• Consider surgical excision for cosmetic reasons.
• Educate patient on monitoring for changes in the lesion.
• Schedule follow-up appointment in 6 months.
• Document findings and treatment in EHR.

Treatment & Plan Section for ICD-10 Code D23.111 – Other benign neoplasm skin/ right upper eyelid, inc canthus

• Surgical excision is the primary treatment option.
• Topical antibiotics may be prescribed post-excision.
• Patient education on monitoring for changes in the lesion.
• Follow-up appointments to assess healing and any changes.

Using ICD-10 Code D23.111 for Other benign neoplasm skin/ right upper eyelid, inc canthus in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings.
• Use the code in outpatient and surgical settings for billing.
• Align treatment plans with clinical guidelines for justified billing.
• Document any procedures performed in conjunction with the diagnosis.

Related ICD-10 Codes Often Used with Other benign neoplasm skin/ right upper eyelid, inc canthus

• D23.112 – Other benign neoplasm skin/ left upper eyelid, inc canthus
• D23.9 – Benign neoplasm of skin, unspecified

ICD-10 Code D23.111 in Medical Billing and Insurance for Other benign neoplasm skin/ right upper eyelid, inc canthus

ICD-10 Code D23.111 is crucial for accurate billing in hospital, ER, or outpatient settings, ensuring proper reimbursement for services rendered.

Billing Notes:

• Document all relevant clinical findings and treatment plans.
• Use the code in conjunction with procedure codes for surgical interventions.
• Ensure compliance with payer guidelines for documentation.
• Include patient education and follow-up plans in the medical record.

Common CPT Pairings: