2024 ICD-10-CM Diagnosis Code C44.131

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

• Primary malignant neoplasm of conjunctiva of eye
• Primary malignant neoplasm of orbit
• Primary malignant neoplasm of sebaceous gland
• Primary sebaceous adenocarcinoma
• Primary sebaceous adenocarcinoma of eyelid
• Sebaceous adenocarcinoma
• Sebaceous adenocarcinoma
• Sebaceous adenocarcinoma of eyelid

C44.131 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
124	OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT	02	1.3219
125	OTHER DISORDERS OF THE EYE WITHOUT MCC	02	0.7975

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.

Replacement Code

C44131 replaces the following previously assigned ICD-10-CM code(s):

• C44.19 - Oth malignant neoplasm of skin of eyelid, including canthus

Table of Neoplasms

The parent code C44.13 of the current diagnosis code is referenced in the table of neoplasms by anatomical site. For each site there are six possible code numbers according to whether the neoplasm in question is malignant, benign, in situ, of uncertain behavior, or of unspecified nature. The description of the neoplasm will often indicate which of the six columns is appropriate.

Where such descriptors are not present, the remainder of the Index should be consulted where guidance is given to the appropriate column for each morphological (histological) variety listed. However, the guidance in the Index can be overridden if one of the descriptors mentioned above is present.

Filter table of neoplasms:

Neoplasm, neoplastic	Malignant Primary	Malignant Secondary	CaInSitu	Benign	Uncertain Behavior	Unspecified Behavior
»Neoplasm, neoplastic   »canthus (eye) (inner) (outer)     »sebaceous cell	C44.13
»Neoplasm, neoplastic   »eyelid (lower) (skin) (upper)     »sebaceous cell	C44.13
»Neoplasm, neoplastic   »lid (lower) (upper)     »sebaceous cell	C44.13
»Neoplasm, neoplastic   »meibomian gland     »sebaceous cell	C44.13
»Neoplasm, neoplastic   »palpebra     »sebaceous cell	C44.13
»Neoplasm, neoplastic   »skin NOS     »canthus (eye) (inner) (outer)       »sebaceous cell	C44.13
»Neoplasm, neoplastic   »skin NOS     »eyelid       »sebaceous cell	C44.13
»Neoplasm, neoplastic   »skin NOS     »lid (lower) (upper)       »sebaceous cell	C44.13
»Neoplasm, neoplastic   »skin NOS     »palpebra       »sebaceous cell	C44.13

Patient Education

Eyelid Disorders

Your eyelids help protect your eyes. When you blink, your eyelids spread moisture over your eyes. Blinking also helps move dirt or other particles off the surface of the eye. You close your eyelids when you see something coming toward your eyes. This can help protect against injuries.

Like most other parts of your body, your eyelids can get infected, inflamed, or even develop cancer. There are also specific eyelid problems, including:

• Eyelids that turn in or out
• Eyelids that droop
• Abnormal blinking or twitching

Treatment of eyelid problems depends on the cause.

[Learn More in MedlinePlus]

Skin Cancer

Skin cancer is the most common form of cancer in the United States. The two most common types are basal cell cancer and squamous cell cancer. They usually form on the head, face, neck, hands, and arms. Another type of skin cancer, melanoma, is more dangerous but less common.

Anyone can get skin cancer, but it is more common in people who :

• Spend a lot of time in the sun or have been sunburned
• Have light-colored skin, hair and eyes
• Have a family member with skin cancer
• Are over age 50

You should have your doctor check any suspicious skin markings and any changes in the way your skin looks. Treatment is more likely to work well when cancer is found early. If not treated, some types of skin cancer cells can spread to other tissues and organs. Treatments include surgery, radiation therapy, chemotherapy, photodynamic therapy (PDT), and biologic therapy. PDT uses a drug and a type of laser light to kill cancer cells. Biologic therapy boosts your body's own ability to fight cancer.

NIH: National Cancer Institute

[Learn More in MedlinePlus]

Code History

• FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
• FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
• FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
• 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