2027 ICD-10-CM Diagnosis Code C43Malignant melanoma of skin
C43 is a non-billable ICD-10-CM category code for malignant melanoma of skin, so it cannot be submitted on claims. Use a more specific code from this category instead, such as C43.0, C43.10, C43.111, and C43.112.
Code Identity
Code Classification
Specific Coding for Malignant melanoma of skinOverview
Non-specific codes like C43 require more characters. Use one of these billable codes instead:
Use C43.0 for Malignant melanoma of lip
C43.1 for Malignant melanoma of eyelid, including canthus
Use C43.10 for Malignant melanoma of unspecified eyelid, including canthus
C43.11 for Malignant melanoma of right eyelid, including canthus
C43.12 for Malignant melanoma of left eyelid, including canthus
C43.2 for Malignant melanoma of ear and external auricular canal
Use C43.20 for Malignant melanoma of unspecified ear and external auricular canal
Use C43.21 for Malignant melanoma of right ear and external auricular canal
Use C43.22 for Malignant melanoma of left ear and external auricular canal
C43.3 for Malignant melanoma of other and unspecified parts of face
Use C43.30 for Malignant melanoma of unspecified part of face
Use C43.31 for Malignant melanoma of nose
Use C43.39 for Malignant melanoma of other parts of face
Use C43.4 for Malignant melanoma of scalp and neck
C43.5 for Malignant melanoma of trunk
Use C43.51 for Malignant melanoma of anal skin
Use C43.52 for Malignant melanoma of skin of breast
Use C43.59 for Malignant melanoma of other part of trunk
C43.6 for Malignant melanoma of upper limb, including shoulder
Use C43.60 for Malignant melanoma of unspecified upper limb, including shoulder
Use C43.61 for Malignant melanoma of right upper limb, including shoulder
Use C43.62 for Malignant melanoma of left upper limb, including shoulder
C43.7 for Malignant melanoma of lower limb, including hip
Use C43.70 for Malignant melanoma of unspecified lower limb, including hip
Use C43.71 for Malignant melanoma of right lower limb, including hip
Use C43.72 for Malignant melanoma of left lower limb, including hip
Use C43.8 for Malignant melanoma of overlapping sites of skin
Use C43.9 for Malignant melanoma of skin, unspecified
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to C43: its own notes plus those printed at Chapter 2. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- melanoma in situ (D03.-)
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Notes
General instructions on how these codes are used.
- Functional activity
- All neoplasms are classified in this chapter, whether they are functionally active or not. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm.
- Morphology [Histology]
- Chapter 2 classifies neoplasms primarily by site (topography), with broad groupings for behavior, malignant, in situ, benign, etc. The Table of Neoplasms should be used to identify the correct topography code. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes.
- Primary malignant neoplasms overlapping site boundaries
- A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere. For multiple neoplasms of the same site that are not contiguous, such as tumors in different quadrants of the same breast, codes for each site should be assigned.
- Malignant neoplasm of ectopic tissue
- Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g., ectopic pancreatic malignant neoplasms are coded to pancreas, unspecified (C25.9).
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name C43, its category, or a range that includes it.
Applicable To 1
These notes mention C43.
- Z85.820 Personal history of malignant melanoma of skinConditions classifiable to C43
Clinical InformationClinical
Cutaneous Melanoma
a primary melanoma arising from atypical melanocytes in the skin. precursor lesions include acquired and congenital melanocytic nevi, and dysplastic nevi. several histologic variants have been recognized, including superficial spreading melanoma, acral lentiginous melanoma, nodular melanoma, and lentigo maligna melanoma.
Patient EducationClinical
Melanoma
Melanoma is the most serious type of skin cancer. Often the first sign of melanoma is a change in the size, shape, color, or feel of a mole. Most melanomas have a black or black-blue area. Melanoma may also appear as a new mole. It may be black, abnormal, or "ugly looking."
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About C43Overview
What is the ICD-10 code for malignant melanoma of skin?
C43 is the ICD-10-CM category for malignant melanoma of skin, but it is a non-billable header: claims need a more specific code from this category, listed on this page.
Is C43 (Malignant melanoma of skin) a billable code?
No. This is a category header that groups the codes for malignant melanoma of skin, and headers cannot be submitted on claims. Claims for malignant melanoma of skin need a more specific code from this category, such as C43.0, C43.10, and C43.111.
Can C43 be reported with a code from D03?
Not as a rule. The Excludes1 note on C43 lists "melanoma in situ (D03.-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).