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ICD-10 Coding for Metastatic Malignant Melanoma(C79.2, C79.51, C43.71)

Complete ICD-10-CM coding and documentation guide for Metastatic Malignant Melanoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Advanced MelanomaStage IV Melanoma

Related ICD-10 Code Ranges

Complete code families applicable to Metastatic Malignant Melanoma

C43-C44Primary Range

Malignant neoplasms of skin

This range includes codes for primary cutaneous melanoma and its metastases.

Secondary malignant neoplasm of other sites

This range covers codes for metastatic sites of melanoma.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
C79.2Secondary malignant neoplasm of skinUse when melanoma has metastasized to the skin from another primary site.
  • Histopathological confirmation of metastatic melanoma in skin
C79.51Secondary malignant neoplasm of boneUse when melanoma has metastasized to the bone.
  • Imaging or biopsy confirmation of bone metastasis
C43.71Malignant melanoma of right forearmUse for primary melanoma located on the right forearm.
  • Histopathological confirmation of melanoma in the forearm

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 metastatic malignant melanoma

Essential facts and insights about Metastatic Malignant Melanoma

The ICD-10 code for metastatic malignant melanoma varies by site, such as C79.2 for skin metastasis.

Primary ICD-10-CM Codes for metastatic malignant melanoma

Secondary malignant neoplasm of skin
Billable Code

Decision Criteria

clinical Criteria

  • Confirmed metastasis to skin from melanoma

Applicable To

  • Metastatic melanoma of skin

Excludes

  • Primary malignant melanoma of skin (C43.xx)

Clinical Validation Requirements

  • Histopathological confirmation of metastatic melanoma in skin

Code-Specific Risks

  • Ensure primary site is documented to avoid incorrect coding.

Coding Notes

  • Ensure documentation specifies metastatic nature and primary site.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Metastatic Malignant Melanoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C79.2.

Impact

Clinical: Leads to vague clinical records., Regulatory: Non-compliance with specificity requirements., Financial: Potential for claim denials.

Mitigation Strategy

Always document specific sites and laterality.

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.

Mitigation Strategy

Ensure laterality is documented for all primary melanoma sites.

Impact

Using C80.1 without attempting to identify primary site.

Mitigation Strategy

Query for primary site details if not 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 Metastatic Malignant Melanoma, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Metastatic Malignant Melanoma

Use these documentation templates to ensure complete and accurate documentation for Metastatic Malignant Melanoma. These templates include all required elements for proper coding and billing.

Metastatic melanoma treatment

Specialty: Oncology

Required Elements

  • Primary site documentation
  • Metastatic site confirmation
  • Treatment regimen

Example Documentation

Patient with metastatic melanoma of lung, primary site right forearm, receiving pembrolizumab.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Melanoma with spread.
Good Documentation Example
Metastatic malignant melanoma of lung, primary site right forearm, BRAF V600E mutation confirmed.
Explanation
The good example provides specific sites, primary and metastatic, and molecular details.

Need help with ICD-10 coding for Metastatic Malignant Melanoma? Ask your questions below.

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