Skin NOS, primary malignancy: Difference between revisions
Jump to navigation
Jump to search
Ttenbergen (talk | contribs) mNo edit summary |
|||
| (6 intermediate revisions by 3 users not shown) | |||
| Line 1: | Line 1: | ||
{{ICD10 transition status | {{ICD10 transition status | ||
| OldDxArticle =Skin Cancer | | OldDxArticle =Skin Cancer | ||
| CurrentStatus = | | CurrentStatus = reconciled | ||
| InitialEditorAssigned = Con Marks | | InitialEditorAssigned = Con Marks | ||
}} | }} | ||
| Line 9: | Line 9: | ||
| BugRequired= | | BugRequired= | ||
}} | }} | ||
{{ICD10 category|Skin}}{{ICD10 category|Musculoskeletal/soft tissue}}{{ICD10 category|Neoplastic}}{{ICD10 category|Skin neoplasm}} | {{ICD10 category|Skin}}{{ICD10 category|Musculoskeletal/soft tissue}}{{ICD10 category|Neoplastic}}{{ICD10 category|Primary malignancy}}{{ICD10 category|Skin neoplasm}} | ||
== Additional Info == | == Additional Info == | ||
| Line 21: | Line 21: | ||
*squamous-cell skin cancer (SCC) | *squamous-cell skin cancer (SCC) | ||
**Squamous-cell skin cancer is more likely to spread. It usually presents as a hard lump with a scaly top but may also form an ulcer. | **Squamous-cell skin cancer is more likely to spread. It usually presents as a hard lump with a scaly top but may also form an ulcer. | ||
* | *merkel cell carcinoma | ||
* a number of less common skin cancers, known as nonmelanoma skin cancer (NMSC) | * a number of less common skin cancers, known as nonmelanoma skin cancer (NMSC) | ||
{{ICD10 Guideline Cancer}} | |||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
{{ | {{ListICD10Category | categoryName = Skin neoplasm}} | ||
*[[Hemangioma or lymphangioma, benign neoplasm, any site]] | *[[Hemangioma or lymphangioma, benign neoplasm, any site]] | ||
== Candidate [[Combined ICD10 codes]] == | == Candidate [[Combined ICD10 codes]] == | ||
{{ListICD10Category | categoryName = Metastasis}} | |||
== Related CCI Codes == | |||
{{Data Integrity Check List}} | |||
== Related Articles == | == Related Articles == | ||
{{Related Articles}} | {{Related Articles}} | ||
{{ICD10 footer}} | {{ICD10 footer}} | ||
{{EndPlaceHolder}} | {{EndPlaceHolder}} | ||
Latest revision as of 08:36, 6 December 2023
| ICD10 Diagnosis | |
| Dx: | Skin NOS, primary malignancy |
| ICD10 code: | C44 |
| Pre-ICD10 counterpart: | Skin Cancer |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
Excludes:
Includes:
- basal-cell skin cancer (BCC)
- Basal-cell cancer grows slowly and can damage the tissue around it but is unlikely to spread to distant areas or result in death. It often appears as a painless raised area of skin, that may be shiny with small blood vessel running over it or may present as a raised area with an ulcer.
- squamous-cell skin cancer (SCC)
- Squamous-cell skin cancer is more likely to spread. It usually presents as a hard lump with a scaly top but may also form an ulcer.
- merkel cell carcinoma
- a number of less common skin cancers, known as nonmelanoma skin cancer (NMSC)
Using ICD10 Malignancy Codes as a Comorbid Diagnosis
- Any cancer/malignancy (either a "solid tumor" or a leukemia/lymphoma/bone marrow malignancy/"liquid tumor", i.e. any ICD10 code from C00-C99) can be a comorbid diagnosis --- BUT it's vital to distinguish malignancies in this category based on whether they are believed to be cured or not.
- If it's still present (or believed to be present), then just include the code for the specific cancer as a comorbid diagnosis.
- If INSTEAD, it's presumed cured, then in the "bin" of comorbid diagnoses combine the code for the specific cancer with this code: Past history, cancer (any type), believed cured
| C00-C99 codes codes: |
Metastases
| Metastasis codes: |
Regarding Presumptive Diagnosis of Malignancy
- Rarely a presumptive diagnosis is made without any tissue confirmation. This generally occurs with:
- risk of obtaining tissue is very high
- plan would be palliative regardless
- patient would refuse care regardless.
- Our issue for how to code a presumed malignancy without definitive histopathologic proof is this:
- If the physicians are going to proceed with a treatment plan without that definitive histopathologic proof --- then code whatever is their best guess about what is present. Example: believed to be lung cancer with a big brain met, and they've decided NOT to do any biopsy but to give palliative radiation therapy, then you'd code lung cancer, and met to brain.
- If the plan is to obtain a definitive histopathologic diagnosis soon or in the future, then instead code: Neoplasm of uncertain behavior (i.e. not clear if benign or malignant), NOS
"work-up for cancer"
If the cancer has not been confirmed then it should not be coded as cancer. Code relevant test abnormal test results or symptoms.
| Testing codes: |
| Symptom/Sign codes: |
| Example: |
Alternate ICD10s to consider coding instead or in addition
| Skin neoplasm codes: |
Candidate Combined ICD10 codes
| Metastasis codes: |
Related CCI Codes
Data Integrity Checks (automatic list)
none found
Related Articles
| Related articles: |
Show all ICD10 Subcategories