2022 ICD-10-CM Code C43.39
Malignant melanoma of other parts of face
Code Classification
C43.39 is a billable diagnosis code used to specify a medical diagnosis of malignant melanoma of other parts of face. The code C43.39 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code C43.39 might also be used to specify conditions or terms like malignant melanoma of chin, malignant melanoma of forehead, malignant melanoma of retina, malignant melanoma of skin of cheek, malignant melanoma of skin of chin , malignant melanoma of skin of eyebrow, etc.
The code C43.39 is linked to some Quality Measures as part of Medicare's Quality Payment Program (QPP). When this code is used as part of a patient's medical record the following Quality Measures might apply: Melanoma Reporting.
Entries in the Index to Diseases and Injuries with references to C43.39
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code C43.39 are found in the index:
- - Melanoma (malignant) - C43.9
- - skin - C43.9
- - brow - C43.39
- - cheek (external) - C43.39
- - chin - C43.39
- - eyebrow - C43.39
- - face - C43.30
- - specified NEC - C43.39
- - forehead - C43.39
- - glabella - C43.39
- - jaw (external) - C43.39
- - nasolabial groove - C43.39
- - temple - C43.39
- - skin - C43.9
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Malignant melanoma of chin
- Malignant melanoma of forehead
- Malignant melanoma of retina
- Malignant melanoma of skin of cheek
- Malignant melanoma of skin of chin
- Malignant melanoma of skin of eyebrow
- Malignant melanoma of skin of forehead
- Malignant melanoma of skin of temporal region
- Malignant melanoma of temple
- Malignant neoplasm of skin of cheek, external
- Malignant neoplasm of skin of temple
- Neoplasm of skin of chin
- Neoplasm of skin of eyebrow
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code C43.39 is grouped in the following groups for version MS-DRG V39.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2021 through 09/30/2022.
| MS-DRG | MS-DRG Title | MCD | Relative Weight |
|---|---|---|---|
| 595 | MAJOR SKIN DISORDERS WITH MCC | 09 | 2.0121 |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | 09 | 0.9892 |
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert C43.39 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code C43.39 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 172.3 - Mal melanom face NEC/NOS (Approximate Flag)
Quality Payment Program Measures
When code C43.39 is part of the patient's diagnoses the following Quality Measures apply and affect reimbursement. The objective of Medicare's Quality Measures is to improve patient care by making it more: effective, safe, efficient, patient-centered and equitable.
| Quality Measure | Description | Quality Domain | Measure Type | High Priority | Submission Methods |
|---|---|---|---|---|---|
| Melanoma Reporting | Pathology reports for primary malignant cutaneous melanoma that include the pT category and a statement on thickness, ulceration and mitotic rate. | Communication and Care Coordination | Process | YES | Claims, Registry |
Information for Patients
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."
Thinking of "ABCDE" can help you remember what to watch for:
- Asymmetry - the shape of one half does not match the other
- Border - the edges are ragged, blurred or irregular
- Color - the color is uneven and may include shades of black, brown and tan
- Diameter - there is a change in size, usually an increase
- Evolving - the mole has changed over the past few weeks or months
Surgery is the first treatment of all stages of melanoma. Other treatments include chemotherapy and radiation, biologic, and targeted therapies. Biologic therapy boosts your body's own ability to fight cancer. Targeted therapy uses substances that attack cancer cells without harming normal cells.
NIH: National Cancer Institute
[Learn More in MedlinePlus]
Melanoma Summary Learn about melanoma risk factors, symptoms, tests to diagnose, factors affecting prognosis, staging, and treatment.
[Learn More in MedlinePlus]
Related Codes
| ICD Code | Description | Valid for Submission |
|---|---|---|
| C43 | Malignant melanoma of skin | NON-BILLABLE CODE |
| C43.0 | Malignant melanoma of lip | BILLABLE CODE |
| C43.1 | Malignant melanoma of eyelid, including canthus | NON-BILLABLE CODE |
| C43.10 | Malignant melanoma of unspecified eyelid, including canthus | BILLABLE CODE |
| C43.11 | Malignant melanoma of right eyelid, including canthus | NON-BILLABLE CODE |
| C43.111 | Malignant melanoma of right upper eyelid, including canthus | BILLABLE CODE |
| C43.112 | Malignant melanoma of right lower eyelid, including canthus | BILLABLE CODE |
| C43.12 | Malignant melanoma of left eyelid, including canthus | NON-BILLABLE CODE |
| C43.121 | Malignant melanoma of left upper eyelid, including canthus | BILLABLE CODE |
| C43.122 | Malignant melanoma of left lower eyelid, including canthus | BILLABLE CODE |
| C43.2 | Malignant melanoma of ear and external auricular canal | NON-BILLABLE CODE |
| C43.20 | Malignant melanoma of unspecified ear and external auricular canal | BILLABLE CODE |
| C43.21 | Malignant melanoma of right ear and external auricular canal | BILLABLE CODE |
| C43.22 | Malignant melanoma of left ear and external auricular canal | BILLABLE CODE |
| C43.3 | Malignant melanoma of other and unspecified parts of face | NON-BILLABLE CODE |
| C43.30 | Malignant melanoma of unspecified part of face | BILLABLE CODE |
| C43.31 | Malignant melanoma of nose | BILLABLE CODE |
| C43.4 | Malignant melanoma of scalp and neck | BILLABLE CODE |
| C43.5 | Malignant melanoma of trunk | NON-BILLABLE CODE |
| C43.51 | Malignant melanoma of anal skin | BILLABLE CODE |
| C43.52 | Malignant melanoma of skin of breast | BILLABLE CODE |
| C43.59 | Malignant melanoma of other part of trunk | BILLABLE CODE |
| C43.6 | Malignant melanoma of upper limb, including shoulder | NON-BILLABLE CODE |
| C43.60 | Malignant melanoma of unspecified upper limb, including shoulder | BILLABLE CODE |
| C43.61 | Malignant melanoma of right upper limb, including shoulder | BILLABLE CODE |
| C43.62 | Malignant melanoma of left upper limb, including shoulder | BILLABLE CODE |
| C43.7 | Malignant melanoma of lower limb, including hip | NON-BILLABLE CODE |
| C43.70 | Malignant melanoma of unspecified lower limb, including hip | BILLABLE CODE |
| C43.71 | Malignant melanoma of right lower limb, including hip | BILLABLE CODE |
| C43.72 | Malignant melanoma of left lower limb, including hip | BILLABLE CODE |
| C43.8 | Malignant melanoma of overlapping sites of skin | BILLABLE CODE |
| C43.9 | Malignant melanoma of skin, unspecified | BILLABLE CODE |
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)
