ICD-10 Coding for Skin Excision of Left Upper Arm(11401, 11602, 0HBCXZZ)
Complete ICD-10-CM coding and documentation guide for Skin Excision of Left Upper Arm. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Skin Excision of Left Upper Arm
11400-11446Primary Range
CPT codes for excision of benign skin lesions
These codes are used for billing excision of benign skin lesions based on size and location.
11600-11646Primary Range
CPT codes for excision of malignant skin lesions
These codes are used for billing excision of malignant skin lesions based on size and location.
ICD-10-PCS code for excision of skin of left upper arm
This code is used for inpatient procedures involving excision of skin on the left upper arm.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| 11401 | Excision of benign lesion including margins, trunk, arms, or legs; excised diameter 0.6 to 1.0 cm | Use for benign lesions on the left upper arm with excised diameter 0.6 to 1.0 cm. |
|
| 11602 | Excision of malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm | Use for malignant lesions on the left upper arm with excised diameter 1.1 to 2.0 cm. |
|
| 0HBCXZZ | Excision of skin of left upper arm, open approach | Use for inpatient excision of skin on the left upper arm. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for skin excision of left upper arm
Essential facts and insights about Skin Excision of Left Upper Arm
Primary ICD-10-CM Codes for skin excision of left upper arm
Decision Criteria
clinical Criteria
- Lesion is confirmed benign by pathology.
documentation Criteria
- Lesion size and margins are clearly documented.
Applicable To
- Benign skin lesion excision
Excludes
- Malignant lesion excision
Clinical Validation Requirements
- Pathology report confirming benign nature
- Documentation of lesion size and margins
Code-Specific Risks
- Incorrectly coding a malignant lesion as benign
Coding Notes
- Ensure documentation includes lesion size and margin measurements.
11602 - Excision of malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm
Use for malignant lesions on the left upper arm with excised diameter 1.1 to 2.0 cm.
Applicable To
- Malignant skin lesion excision
Excludes
- Benign lesion excision
Clinical Validation Requirements
- Pathology report confirming malignancy
- Documentation of lesion size and margins
Coding Notes
Ensure documentation includes lesion size and margin measurements.
0HBCXZZ - Excision of skin of left upper arm, open approach
Use for inpatient excision of skin on the left upper arm.
Applicable To
- Inpatient excision procedures
Excludes
- Outpatient excision procedures
Clinical Validation Requirements
- Inpatient setting
- Documentation of procedure details
Coding Notes
Ensure procedure is documented as inpatient.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Skin Excision of Left Upper Arm to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code 11401.
Impact
Clinical: Inaccurate medical records, Regulatory: Potential audit risk, Financial: Denied claims
Mitigation Strategy
Always document margin size, Include in operative note
Impact
Reimbursement: May lead to overbilling and potential audits., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate medical records.
Mitigation Strategy
Verify pathology report before coding.
Impact
Failure to document margins can lead to claim denials.
Mitigation Strategy
Ensure all excision details are documented.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Skin Excision of Left Upper Arm, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Skin Excision of Left Upper Arm
Use these documentation templates to ensure complete and accurate documentation for Skin Excision of Left Upper Arm. These templates include all required elements for proper coding and billing.
Excision of benign lesion on left upper arm
Specialty: DermatologyRequired Elements
- Lesion size
- Margin size
- Closure type
- Pathology results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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