The 2023 edition of ICD-10-CM C44.52 became effective on October 1, 2022. Please enable "JavaScript" and revisit this page or proceed with browsing CMS.gov with Please review and accept the agreements in order to view Medicare Coverage documents, which may include licensed information and codes. In most instances Revenue Codes are purely advisory. Every page of the record must be legible and include appropriate patient identification information (e.g., complete name, dates of service[s]). The Table of Neoplasms should be used to identify the correct topography code. 625 0 obj <>/Filter/FlateDecode/ID[<300BF5E799812D49BBFB4D9A3883AA65>]/Index[604 32]/Info 603 0 R/Length 104/Prev 172627/Root 605 0 R/Size 636/Type/XRef/W[1 3 1]>>stream This is the American ICD-10-CM version of D04.9 - other international versions of ICD-10 D04.9 may differ. An asterisk (*) indicates a Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. These materials contain Current Dental Terminology (CDTTM), copyright© 2022 American Dental Association (ADA). Please do not use this feature to contact CMS. Risk factors for the disease are exposure to sun (specifically . Current Dental Terminology © 2022 American Dental Association. What is the ICD 10 code for skin cancer of nose? The views and/or positions presented in the material do not necessarily represent the views of the AHA. Consequently, solar UVR-induced skin cancers are among the most common forms of occupational malignancies that are potentially expected globally. The submitted CPT/HCPCS code must describe the service performed. without the written consent of the AHA. Privacy Policy | Terms & Conditions | Contact Us. Copyright 2023, AAPC Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. q_r7ds1A"TTD`3i6`q@Jia$D/ %]/_ In a few cases, such as for malignant melanoma and certain . All Rights Reserved (or such other date of publication of CPT). [*]Carcinoma in situ of skin of neck The following ICD-10-CM codes support medical necessity and provide limited coverage for CPT codes: 17260, 17261, 17262, 17263, 17264, 17266, 17270, 17271, 17272, 17273, 17274, 17276, 17280, 17281, 17282, 17283, 17284, 17286. Medicare contractors are required to develop and disseminate Articles. Primary malignant neoplasms overlapping site boundaries. Article document IDs begin with the letter "A" (e.g., A12345). CPT codes, descriptions and other data only are copyright 2022 American Medical Association. In this context, annotation back-references refer to codes that contain: This is the American ICD-10-CM version of. See page 66 in ICD-O-3. Carcinoma In Situ ICD-10-CM Alphabetical Index The ICD-10-CM Alphabetical Index is designed to allow medical coders to look up various medical terms and connect them with the appropriate ICD codes. 9: Squamous cell carcinoma of the anus, NOS Squamous cell carcinoma of the anus (C210) is reportable. OPSCC cases were defined using the following International Classification of Disease for Oncology (ICD-O-3) site codes: base of tongue (C01.9 . 2023 ICD-10-CM Diagnosis Code C44.62 - ICD10Data.com CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. It is the providers responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted. Self-Administered Drug (SAD) Exclusion List articles list the CPT/HCPCS codes that are excluded from coverage under this category. The codes for squamous cell carcinoma are under category C44 Other and unspecified malignant neoplasm of skin. C and E treatment involves removing the surface of the skin cancer with a scraping instrument (curet) and then searing the base of the cancer with an electric needle. By clicking below on the button labeled "I accept", you hereby acknowledge that you have read, understood and agreed to all terms and conditions set forth in this agreement. THE UNITED STATES The AMA does not directly or indirectly practice medicine or dispense medical services. Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g., ectopic pancreatic malignant neoplasms are coded to pancreas, unspecified (, Intraepidermal squamous carcinoma of face, Squamous cell carcinoma in situ, skin of face. Billing and Coding: Destruction of Malignant Skin Lesions Absence of a Bill Type does not guarantee that the As a result, in ICD-10, five different categories of four characters each are needed to describe all lung neoplasms (see Figure 2). M0: no clinical or radiographic evidence of distant metastasis. Neither the United States Government nor its employees represent that use of such information, product, or processes NON-MELANOMA SKIN CANCER Includes Basal Cell, Squamous Cell and (ajcc 6th and 7th eds.). The submitted medical record must support the use of the selected ICD-10-CM code(s). The patient is informed that the biopsy results confirm squamous cell carcinoma. A Draft article will eventually be replaced by a Billing and Coding article once the Proposed LCD is released to a final LCD. C Codes | SEER Training - National Cancer Institute you could code both and use the exclude 1 exception if documentation were to indicate invasive in one breast and in-situ in the other. Morphology & Grade | SEER Training - National Cancer Institute ICD-10 code (8010-8045) Epithelial neoplasms, NOS (8050-8080) Squamous cell neoplasms . [*]Carcinoma in situ of skin of s [QUOTE="thomas7331, post: 478231, member: 5404"] All neoplasms are classified in this chapter, whether they are functionally active or not. The main histological types of NSCLC are adenocarcinoma, squamous cell and large cell carcinoma. In most instances Revenue Codes are purely advisory. Note: . hb```@( f p,&}5y5LJ"%%%3th/ $84C@1(6H(\Fed 6#V3gYq Applications are available at the AMA Web site, http://www.ama-assn.org/go/cpt. Squamous cell carcinoma pathology | DermNet 7500 Security Boulevard, Baltimore, MD 21244. Any questions pertaining to the license or use of the CPT should be addressed to the AMA. ICD-10-CM Coding instruction note: Excludes familial polycythemia (C75.0), secondary polycythemia (D75.1) D46.- Myelodysplastic syndromes . AHA copyrighted materials including the UB‐04 codes and Complete absence of all Bill Types indicates However, please note that once a group is collapsed, the browser Find function will not find codes in that group. CPT codes, descriptions and other data only are copyright 2022 American Medical Association. Check out the dx block of D04.4. PDF Updated 7 9 18 ICD-O-3 numeric table - NAACCR _, C68. Whether the site is primary, secondary, or carcinoma, Site on the skin (e.g., trunk, upper limb, or lower limb). Request a Demo 14 Day Free Trial Buy Now Official Long Descriptor Carcinoma in situ of skin Excludes1: erythroplasia of Queyrat (penis) NOS ( D07.4) This Agreement will terminate upon notice if you violate its terms. presented in the material do not necessarily represent the views of the AHA. All neoplasms are classified in this chapter, whether they are functionally active or not. [/QUOTE] You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. ICD-10 Code for Personal history of other malignant neoplasm of - AAPC N0: no regional lymph node metastasis. Oncology. 0 Your MCD session is currently set to expire in 5 minutes due to inactivity. You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. D04.4 would be incorrect as this is documented neither [I]in situ [/I]nor as a carcinoma of the skin. Copyright © 2022, the American Hospital Association, Chicago, Illinois. The AMA is a third party beneficiary to this Agreement. D04 - ICD-10 Code for Carcinoma in situ of skin - Non-billable Applications are available at the American Dental Association web site. When a lesion is excised that is a neoplasm of uncertain morphology (e.g., melanoma vs. dyplastic nevi), choose the correct CPT code based on the manner in which the lesion is excised rather than the final pathological diagnosis. The CPT code should reflect the knowledge, skill, time and effort that the provider invests in the excision of the lesion. Billing and Coding: Excision of Malignant Skin Lesions High-grade vulval intraepithelial neoplasia (VIN 3): a - PubMed The submitted medical record must support the use of the selected ICD-10-CM code(s). The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. apply equally to all claims. Bowen's disease: squamous cell carcinoma in situ Bowen's disease is a premalignant condition that clinically presents as an asymptomatic, scaly or crusted plaque on the skin. All rights reserved. The program covers drugs that are furnished "incident-to" a physician's service provided that the drugs are not "usually self-administered" by the patient. Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. Columbia, MO. It is the providers responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted. However, ICD-10 codes specify the exact site on the skin along with the laterality (right or left). In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes. 5th digit 1: Basal cell carcinoma of skin 5th digit 2: Squamous cell carcinoma of skin 5th digit 9: Other specific malignant neoplasm of skin : Kaposi Sarcoma (46) . icd 10 code for bone marrow edema right knee - Fisvo.org As used herein, "you" and "your" refer to you and any organization on behalf of which you are acting. There are different article types: Articles are often related to an LCD, and the relationship can be seen in the "Associated Documents" section of the Article or the LCD. copied without the express written consent of the AHA. ICD-10 code Z85.828 for Personal history of other malignant neoplasm of skin is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services . Risk of cutaneous squamous cell carcinoma due to occupational exposure 7500 Security Boulevard, Baltimore, MD 21244. Applicable FARS\DFARS Restrictions Apply to Government Use. For example, 173.22:Squamous cell carcinoma of the skin of the ear and external auditory canal. DISCLOSED HEREIN. not endorsed by the AHA or any of its affiliates. If you would like to extend your session, you may select the Continue Button. As a contributor you will produce quality content for the business of healthcare, taking the Knowledge Center forward with your knowhow and expertise. As the post above indicates, there is an Excludes1 note, but it is incorrect in stating that they may not be billed together. Squamous cell carcinoma in situ, skin of face ICD-10-CM D04.30 is grouped within Diagnostic Related Group (s) (MS-DRG v40.0): 606 Minor skin disorders with mcc 607 Minor skin disorders without mcc Convert D04.30 to ICD-9-CM Code History 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM) 2017 (effective 10/1/2016): No change Conjunctival squamous cell carcinoma - Wikipedia Before sharing sensitive information, make sure you're on a federal government site. The size and location of the lesion must be included in the documentation. We are looking for thought leaders to contribute content to AAPCs Knowledge Center. The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. C44.12: Squamous cell carcinoma of skin of eyelid, including canthus. Cutaneous SCC is an invasive disease, referring to cancer cells that have grown beyond the epidermis. C44.229 Squamous cell carcinoma of skin of left ear and external auricular canal Squamous Cell Carcinoma (SCC) 31 Coding of Neoplasms in ICD-10-CM A patient returns to the dermatologist to discuss removal of his SCC on his lower lip. Youll find a lot of suggestions and better answers to your question in the Member Forums. Complete absence of all Revenue Codes indicates Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense Federal Acquisition Regulation supplement (DFARS) Restrictions Apply to Government Use. Chapter 2 classifies neoplasms primarily by site (topography), with broad groupings for behavior, malignant, in situ, benign, etc. accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the The Centers for Medicare & Medicaid Services (CMS), the federal agency responsible for administration of the Medicare, apply equally to all claims. If the "INDICATOR" is set to "2" these records were re -reviewed and over road the rules from ICD-O-3 code book. Fv 27, 2023 . CPT codes, descriptions and other data only are copyright 2022 American Medical Association. Billing However, services performed for any given diagnosis must meet all of the indications and limitations stated in the LCD, the general requirements for medical necessity as stated in CMS payment policy manuals, any and all existing CMS national coverage determinations, and all Medicare payment rules. Objectives: To determine patient and disease characteristics, treatment patterns and long-term outcomes, in order to help direct management of patients with VIN 3, to examine the risk of development of cancer following a diagnosis of VIN 3 and the risk of recurrent disease requiring multiple treatment episodes, and to review patients with vulval cancer, in order to establish the relative . Noninvasive can be used as a synonym for in situ, ICD-O-3 behavior code /2. You can collapse such groups by clicking on the group header to make navigation easier. He has been covering medical coding and billing, healthcare policy, and the business of medicine since 1999. The submitted CPT/HCPCS code must describe the service performed. Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. End User License Agreement: The 2023 edition of ICD-10-CM D04.9 became effective on October 1, 2022. No portion of the American Hospital Association (AHA) copyrighted materials contained within this publication may be These rules can be found i n the front of the ICD-O-3 code book. This page displays your requested Article. The Centers for Medicare & Medicaid Services (CMS), the federal agency responsible for administration of the Medicare, In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes. American Hospital Association ("AHA"), Carcinoma in situ of skin of eyelid, including canthus, Carcinoma in situ of skin of ear and external auricular canal, Carcinoma in situ of skin of other and unspecified parts of face, Carcinoma in situ of skin of scalp and neck, Carcinoma in situ of skin of upper limb, including shoulder, Carcinoma in situ of skin of lower limb, including hip. PDF Coding of Neoplasms in ICD-10-CM - AAPC recommending their use. Here are the codes: C44.02 :Squamous cell carcinoma of skin of lip. PDF ICD-10-CM Casefinding List, 2022 - Surveillance, Epidemiology, And End . Squamous cell carcinoma of the anus (C210) is reportable. Please visit the. All neoplasms are classified in this chapter, whether they are functionally active or not. MACs are Medicare contractors that develop LCDs and Articles along with processing of Medicare claims. Squamous Cell Carcinoma ICD-10-CM Coding - AAPC Knowledge Center Another option is to use the Download button at the top right of the document view pages (for certain document types). CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. GOVERNMENT AND ITS EMPLOYEES ARE NOT LIABLE FOR ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION, PRODUCT, OR PROCESSES Contractors may specify Bill Types to help providers identify those Bill Types typically Healthcare providers are granted even more latitude for use of telehealth services during the COVID19 public health emergency. The views and/or positions Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. The term "in situ" added on the end tells us that this is a surface form of skin cancer. Organizations who contract with CMS acknowledge that they may have a commercial CDT license with the ADA, and that use of CDT codes as permitted herein for the administration of CMS programs does not extend to any other programs or services the organization may administer and royalties dues for the use of the CDT codes are governed by their commercial license. Draft articles have document IDs that begin with "DA" (e.g., DA12345). I hope this helps you. Every page of the record must be legible and include appropriate patient identification information (e.g., complete name, dates of service[s]). Subscribe to Codify by AAPC and get the code details in a flash. Conjunctival squamous cell carcinoma (conjunctival SCC) and corneal intraepithelial neoplasia comprise what are called ocular surface squamous cell neoplasias. The following ICD-10-CM codes support medical necessity and provide limited coverage for CPT codes: 11640, 11641, 11642, 11643, 11644, and 11646. Best answers. . an effective method to share Articles that Medicare contractors develop. The medical record/progress note should indicate the removal of a malignant lesion with a corresponding pathology report or a clinical description consistent with a skin malignancy. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. Chemical exposures, such as arsenic in drinking water, tar, or working with insecticides or herbicides. As in ICD-9-CM, there is a separate Table of Neoplasms. The page could not be loaded. My provider is documenting a squamous cell carcinoma in situ of the jaw, do I code this as C44.329 or D04.39 as the SCC and in situ are separate ICD-10 codes? Neither the United States Government nor its employees represent that use of such information, product, or processes This treatment is often used for small or very superficial squamous cell cancers of the skin. The document is broken into multiple sections. I hope this helps you. Some articles contain a large number of codes. Contractors may specify Bill Types to help providers identify those Bill Types typically COMPREHENSIVE ICD-10-CM Casefinding Code List for Reportable Tumors EFFECTIVE: 01/01/2021 . The AMA does not directly or indirectly practice medicine or dispense medical services. There are multiple ways to create a PDF of a document that you are currently viewing. not endorsed by the AHA or any of its affiliates. C44.13- Sebaccous cell carcinoma of skin of eyelid, including canthus Note: Effective 10/1/2018 . 2023 ICD-10-CM Diagnosis Code C44.521 - ICD10Data.com squamous cell carcinoma in situ icd 10: of the Medicare program. Lady T:cool: [QUOTE="jh1991, post: 469112, member: 237375"] Adenocarcinoma (81403) of the bladder Very rare (2%) and almost impossible to distinguish from primary prostate carcinoma which has extended into the bladder. Federal government websites often end in .gov or .mil. Skin []. The views and/or positions Please review and accept the agreements in order to view Medicare Coverage documents, which may include licensed information and codes. Cutaneous squamous cell carcinoma - DermNet NZ This section shows you chapter-specific coding guidelines to increase your understanding and correct usage of the target ICD-10-CM Volume 1 code. If your session expires, you will lose all items in your basket and any active searches. You are leaving the CMS MCD and are being redirected to the CMS MCD Archive that contains outdated (No Longer In Effect) Local Coverage Determinations and Articles, You are leaving the CMS MCD and are being redirected to, Billing and Coding: Excision of Malignant Skin Lesions, AMA CPT / ADA CDT / AHA NUBC Copyright Statement, Article - Billing and Coding: Excision of Malignant Skin Lesions (A57660). . Other risk factors for SCC include: To assign the most appropriate ICD-10-CM code for squamous cell carcinoma, clinical documentation should indicate: ICD-10-CM chapter 2 contains codes for most benign and malignant neoplasms. Please visit the. No fee schedules, basic unit, relative values or related listings are included in CPT. ICD 10. This is the American ICD-10-CM version of C44.91 - other international versions of ICD-10 C44.91 may differ. C44.92 Squamous cell carcinoma of skin, unspecified Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. authorized with an express license from the American Hospital Association. All rights reserved. The Medicare program provides limited benefits for outpatient prescription drugs. Use is limited to use in Medicare, Medicaid or other programs administered by the Centers for Medicare and Medicaid Services (CMS). ICD-10 Code for Carcinoma in situ of skin- D04- Codify by AAPC of every MCD page. By clicking below on the button labeled "I accept", you hereby acknowledge that you have read, understood and agreed to all terms and conditions set forth in this agreement. The term vulval intraepithelial neoplasia describes two conditions with different biological behaviour: usual type and differentiated type. Differences between ICD-O & ICD-10 | SEER Training Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes, When verrucous carcinoma forms in your mouth, healthcare providers manage the condition as an oral cancer. Histology of SCC B5l2`4'l2_v n6M#~zx#d[mp1VXlu[1NWJu~@}Z~@R'h&\x$f$e" =ih9L|-U*|=LeXOs9"eY9j=IYRh{p "AYqn[sNxD!D>* Hqq0.DzXCX|P| VGi] kb$+%=IpzpTkk*. Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g., ectopic pancreatic malignant neoplasms are coded to pancreas, unspecified (, malignant neoplasm of skin of genital organs (, Primary malignant neoplasm of skin of left shoulder, Primary malignant neoplasm of skin of left upper limb. Create your account. If an entity wishes to utilize any AHA materials, please contact the AHA at 312‐893‐6816. Absence of a Bill Type does not guarantee that the If you would like to extend your session, you may select the Continue Button. Sign up to get the latest information about your choice of CMS topics in your inbox. See note under "HIST" variable. All rights reserved. If you are a particularly observant medical coder you8217ve probably noticed that many codes identified as deleted were actually promoted to new roles. A Draft article will eventually be replaced by a Billing and Coding article once the Proposed LCD is released to a final LCD. Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. Since the morphology of the lesions can mimic that of other cutaneous disorders, Bowen's disease is often not recognized initially. Reproduced with permission. descriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work Draft articles are articles written in support of a Proposed LCD. Revenue Codes are equally subject to this coverage determination. ICD-10-CM Codes that Support Medical Necessity, ICD-10-CM Codes that DO NOT Support Medical Necessity, L33813 - Destruction of Malignant Skin Lesions, DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), TRUNK, ARMS OR LEGS; LESION DIAMETER 0.5 CM OR LESS, DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), TRUNK, ARMS OR LEGS; LESION DIAMETER 0.6 TO 1.0 CM, DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), TRUNK, ARMS OR LEGS; LESION DIAMETER 1.1 TO 2.0 CM, DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), TRUNK, ARMS OR LEGS; LESION DIAMETER 2.1 TO 3.0 CM, DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), TRUNK, ARMS OR LEGS; LESION DIAMETER 3.1 TO 4.0 CM, DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), TRUNK, ARMS OR LEGS; LESION DIAMETER OVER 4.0 CM, DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), SCALP, NECK, HANDS, FEET, GENITALIA; LESION DIAMETER 0.5 CM OR LESS, DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), SCALP, NECK, HANDS, FEET, GENITALIA; LESION DIAMETER 0.6 TO 1.0 CM, DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), SCALP, NECK, HANDS, FEET, GENITALIA; LESION DIAMETER 1.1 TO 2.0 CM, DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), SCALP, NECK, HANDS, FEET, GENITALIA; LESION DIAMETER 2.1 TO 3.0 CM, DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), SCALP, NECK, HANDS, FEET, GENITALIA; LESION DIAMETER 3.1 TO 4.0 CM, DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), SCALP, NECK, HANDS, FEET, GENITALIA; LESION DIAMETER OVER 4.0 CM, DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; LESION DIAMETER 0.5 CM OR LESS, DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; LESION DIAMETER 0.6 TO 1.0 CM, DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; LESION DIAMETER 1.1 TO 2.0 CM, DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; LESION DIAMETER 2.1 TO 3.0 CM, DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; LESION DIAMETER 3.1 TO 4.0 CM, DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; LESION DIAMETER OVER 4.0 CM, Malignant neoplasm of overlapping sites of palate, Malignant neoplasm of palate, unspecified, Malignant neoplasm of overlapping sites of unspecified parts of mouth, Malignant neoplasm of overlapping sites of other parts of mouth, Malignant melanoma of unspecified eyelid, including canthus, Malignant melanoma of right upper eyelid, including canthus, Malignant melanoma of right lower eyelid, including canthus, Malignant melanoma of left upper eyelid, including canthus, Malignant melanoma of left lower eyelid, including canthus, Malignant melanoma of unspecified ear and external auricular canal, Malignant melanoma of right ear and external auricular canal, Malignant melanoma of left ear and external auricular canal, Malignant melanoma of unspecified part of face, Malignant melanoma of other parts of face, Malignant melanoma of other part of trunk, Malignant melanoma of unspecified upper limb, including shoulder, Malignant melanoma of right upper limb, including shoulder, Malignant melanoma of left upper limb, including shoulder, Malignant melanoma of unspecified lower limb, including hip, Malignant melanoma of right lower limb, including hip, Malignant melanoma of left lower limb, including hip, Malignant melanoma of overlapping sites of skin, Merkel cell carcinoma of unspecified eyelid, including canthus, Merkel cell carcinoma of right upper eyelid, including canthus, Merkel cell carcinoma of right lower eyelid, including canthus, Merkel cell carcinoma of left upper eyelid, including canthus, Merkel cell carcinoma of left lower eyelid, including canthus, Merkel cell carcinoma of unspecified ear and external auricular canal, Merkel cell carcinoma of right ear and external auricular canal, Merkel cell carcinoma of left ear and external auricular canal, Merkel cell carcinoma of unspecified part of face, Merkel cell carcinoma of other parts of face, Merkel cell carcinoma of other part of trunk, Merkel cell carcinoma of unspecified upper limb, including shoulder, Merkel cell carcinoma of right upper limb, including shoulder, Merkel cell carcinoma of left upper limb, including shoulder, Merkel cell carcinoma of unspecified lower limb, including hip, Merkel cell carcinoma of right lower limb, including hip, Merkel cell carcinoma of left lower limb, including hip, Merkel cell carcinoma of overlapping sites, Other specified malignant neoplasm of skin of lip, Basal cell carcinoma of skin of right upper eyelid, including canthus, Basal cell carcinoma of skin of right lower eyelid, including canthus, Basal cell carcinoma of skin of left upper eyelid, including canthus, Basal cell carcinoma of skin of left lower eyelid, including canthus, Squamous cell carcinoma of skin of right upper eyelid, including canthus, Squamous cell carcinoma of skin of right lower eyelid, including canthus, Squamous cell carcinoma of skin of left upper eyelid, including canthus, Squamous cell carcinoma of skin of left lower eyelid, including canthus, Other specified malignant neoplasm of skin of right upper eyelid, including canthus, Other specified malignant neoplasm of skin of right lower eyelid, including canthus, Other specified malignant neoplasm of skin of left upper eyelid, including canthus, Other specified malignant neoplasm of skin of left lower eyelid, including canthus, Basal cell carcinoma of skin of right ear and external auricular canal, Basal cell carcinoma of skin of left ear and external auricular canal, Squamous cell carcinoma of skin of right ear and external auricular canal, Squamous cell carcinoma of skin of left ear and external auricular canal, Other specified malignant neoplasm of skin of right ear and external auricular canal, Other specified malignant neoplasm of skin of left ear and external auricular canal, Basal cell carcinoma of skin of other parts of face, Squamous cell carcinoma of skin of other parts of face, Other specified malignant neoplasm of skin of nose, Other specified malignant neoplasm of skin of other parts of face, Basal cell carcinoma of skin of scalp and neck, Squamous cell carcinoma of skin of scalp and neck, Other specified malignant neoplasm of skin of scalp and neck, Basal cell carcinoma of skin of other part of trunk, Squamous cell carcinoma of skin of breast, Squamous cell carcinoma of skin of other part of trunk, Other specified malignant neoplasm of anal skin, Other specified malignant neoplasm of skin of breast, Other specified malignant neoplasm of skin of other part of trunk, Basal cell carcinoma of skin of right upper limb, including shoulder, Basal cell carcinoma of skin of left upper limb, including shoulder, Squamous cell carcinoma of skin of right upper limb, including shoulder, Squamous cell carcinoma of skin of left upper limb, including shoulder, Other specified malignant neoplasm of skin of right upper limb, including shoulder, Other specified malignant neoplasm of skin of left upper limb, including shoulder, Basal cell carcinoma of skin of right lower limb, including hip, Basal cell carcinoma of skin of left lower limb, including hip, Squamous cell carcinoma of skin of right lower limb, including hip, Squamous cell carcinoma of skin of left lower limb, including hip, Other specified malignant neoplasm of skin of right lower limb, including hip, Other specified malignant neoplasm of skin of left lower limb, including hip, Basal cell carcinoma of overlapping sites of skin, Squamous cell carcinoma of overlapping sites of skin, Other specified malignant neoplasm of overlapping sites of skin, Malignant neoplasm of peripheral nerves of head, face and neck, Malignant neoplasm of peripheral nerves of unspecified upper limb, including shoulder, Malignant neoplasm of peripheral nerves of right upper limb, including shoulder, Malignant neoplasm of peripheral nerves of left upper limb, including shoulder, Malignant neoplasm of peripheral nerves of unspecified lower limb, including hip, Malignant neoplasm of peripheral nerves of right lower limb, including hip, Malignant neoplasm of peripheral nerves of left lower limb, including hip, Malignant neoplasm of peripheral nerves of thorax, Malignant neoplasm of peripheral nerves of abdomen, Malignant neoplasm of peripheral nerves of pelvis, Malignant neoplasm of peripheral nerves of trunk, unspecified, Malignant neoplasm of overlapping sites of peripheral nerves and autonomic nervous system, Malignant neoplasm of connective and soft tissue of head, face and neck, Malignant neoplasm of connective and soft tissue of unspecified upper limb, including shoulder, Malignant neoplasm of connective and soft tissue of right upper limb, including shoulder, Malignant neoplasm of connective and soft tissue of left upper limb, including shoulder, Malignant neoplasm of connective and soft tissue of unspecified lower limb, including hip, Malignant neoplasm of connective and soft tissue of right lower limb, including hip, Malignant neoplasm of connective and soft tissue of left lower limb, including hip, Malignant neoplasm of connective and soft tissue of thorax, Malignant neoplasm of connective and soft tissue of abdomen, Malignant neoplasm of connective and soft tissue of pelvis, Malignant neoplasm of connective and soft tissue of trunk, unspecified, Malignant neoplasm of overlapping sites of connective and soft tissue, Malignant neoplasm of head, face and neck, Malignant neoplasm of unspecified upper limb, Malignant neoplasm of unspecified lower limb, Malignant neoplasm of other specified ill-defined sites, Melanoma in situ of unspecified eyelid, including canthus, Melanoma in situ of right upper eyelid, including canthus, Melanoma in situ of right lower eyelid, including canthus, Melanoma in situ of left upper eyelid, including canthus, Melanoma in situ of left lower eyelid, including canthus, Melanoma in situ of unspecified ear and external auricular canal, Melanoma in situ of right ear and external auricular canal, Melanoma in situ of left ear and external auricular canal, Melanoma in situ of unspecified part of face, Melanoma in situ of breast (skin) (soft tissue), Melanoma in situ of unspecified upper limb, including shoulder, Melanoma in situ of right upper limb, including shoulder, Melanoma in situ of left upper limb, including shoulder, Melanoma in situ of unspecified lower limb, including hip, Melanoma in situ of right lower limb, including hip, Melanoma in situ of left lower limb, including hip, Carcinoma in situ of skin of unspecified eyelid, including canthus, Carcinoma in situ of skin of right upper eyelid, including canthus, Carcinoma in situ of skin of right lower eyelid, including canthus, Carcinoma in situ of skin of left upper eyelid, including canthus, Carcinoma in situ of skin of left lower eyelid, including canthus, Carcinoma in situ of skin of unspecified ear and external auricular canal, Carcinoma in situ of skin of right ear and external auricular canal, Carcinoma in situ of skin of left ear and external auricular canal, Carcinoma in situ of skin of unspecified part of face, Carcinoma in situ of skin of other parts of face, Carcinoma in situ of skin of scalp and neck, Carcinoma in situ of skin of unspecified upper limb, including shoulder, Carcinoma in situ of skin of right upper limb, including shoulder, Carcinoma in situ of skin of left upper limb, including shoulder, Carcinoma in situ of skin of unspecified lower limb, including hip, Carcinoma in situ of skin of right lower limb, including hip, Carcinoma in situ of skin of left lower limb, including hip, Some 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