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2025 ICD-10-CM code C43.0

Malignant melanoma of the lip.This refers to a cancerous growth of melanocytes, the pigment-producing cells, specifically on the lip.

Refer to ICD-10-CM guidelines for coding malignant melanoma of the skin.Note the exclusions for melanoma in situ (D03.-) and melanoma of the vermilion border of the lip (C00.0-C00.2).

Medical necessity for treatment of C43.0 is based on the presence of malignant melanoma confirmed by biopsy. The specific treatment approach (surgery, radiation, chemotherapy) must be justified based on the stage, size, and location of the melanoma, patient health, and other clinical factors.

Diagnosis of malignant melanoma of the lip involves physical examination, evaluation of lesion characteristics (size, color, border irregularity), and often biopsy for microscopic examination.Additional tests may include complete blood count, serum chemistry, lactate dehydrogenase, and imaging studies (CT, PET). Treatment can involve surgical excision, lymph node dissection, and/or chemotherapy. The physician is responsible for coordinating diagnosis and treatment.

In simple words: Malignant melanoma of the lip is a type of skin cancer that develops from the pigment-producing cells (melanocytes) in the skin of the lip. It can be dangerous if not treated, as it may spread to other parts of the body.

Malignant melanoma of lip. Excludes1: malignant neoplasm of vermilion border of lip (C00.0-C00.2)

Example 1: A 55-year-old male presents with a changing mole on his lower lip. Biopsy confirms malignant melanoma., A 70-year-old female with a history of sun exposure has a pigmented lesion on her upper lip.The lesion is biopsied and diagnosed as C43.0., A 30-year-old individual notices a dark spot on their lip that has been growing and bleeding occasionally. After examination and biopsy, the diagnosis is malignant melanoma of the lip (C43.0).

Documentation should include lesion description, location, size, color, and any changes observed. Biopsy results are crucial for confirming the diagnosis.Additional documentation may include details of any surgical procedures, chemotherapy or radiation therapy administered, and lymph node involvement if applicable.

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iFrame™ AI's knowledge is aligned with and limited to the materials uploaded by users and should not be interpreted as medical, legal, or any other form of advice by iFrame™.