To provide awareness about the harmful effects of UV rays, the U.S. Department of Health and Human Services has named July as Ultraviolet (UV) Safety Month.
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Summer vacations, beach trips, and other outdoor activities! Have fun in the sun
this summer. But beware of Ultra Violet (UV) rays. Skin, which is the body's largest
organ, protects us against heat, sunlight, injury, and infection. Skin cancer is an
abnormal growth of skin cells. It most often develops on areas of the skin exposed
to the sun’s rays. July is observed as UV Safety Month. This is a period when
patient visits to dermatology practices increase and physicians are busy
documenting various skin conditions associated with prolonged exposure to the sun.
Dermatology medical billing includes documenting conditions associated with UV
exposure.
UV Safety Month aims to raise awareness about skin cancer and help people take
action to prevent it. Some tips to safeguard your skin from the harmful effects of
UV radiation from the sun include:
Wear proper clothing
Stay out of the sun
Avoid sunburns
Find shade
Apply sunscreen with sun protection factor (SPF)
Wear a wide-brimmed hat
When planning outdoor activities, you can benefit from the information of how
much sun protection is needed by checking the Environmental Protection Agency's
(EPA) UV index. This index measures the daily intensity of UV rays from the sun on
a scale of 1 to 11. A low UV index requires minimal protection, whereas a high UV
index requires maximum protection.
UV Radiation and Skin Cancer
Most skin cancers are caused by too much exposure to ultraviolet radiation. Most of
this exposure is from the sun and also from other man-made sources such as
indoor tanning beds and sun lamps. According to the American Cancer Society, skin
cancer has become the most frequently diagnosed form of cancer in the U.S.
Skin cancer types include Actinic Keratoses (dry, scaly patches or spots), Basal cell
carcinoma (BCC), the most common type of skin cancer, Squamous cell carcinoma
(SCC), the second most common type of skin cancer, and Melanoma.
Melanoma that frequently develops in a mole or suddenly appears as a new dark
spot on the skin is the deadliest form of skin cancer. According to the Skin Cancer
Foundation, an estimated 87,110 new cases of invasive melanoma will be
diagnosed in the U.S. in 2017. Melanoma can be caused by too much exposure to
ultraviolet (UV) rays from the sun or other sources, such as tanning beds and sun
lamps. Treatment for this cancer type typically includes a hospital encounter with
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radical wide excision, ski grafts, and lymph ode excision. Diagnosing this condition
early is the best way to make sure it can be treated with success.
Skin cancer warning signs include changes in size, shape or color of a mole or other
skin lesion, the appearance of a new growth on the skin, or a sore that doesn't
heal. The American Academy of Dermatology encourages everyone to perform skin
self-exams to check for signs of skin cancer and get a skin exam from a doctor.
Melanoma Medical Coding
Medical coding services for skin cancers depend on two key factors such as the
type of cell involved and anatomical site. In ICD-10-CM, body sites are much more
specific and require documentation of laterality for paired organs such as eyes,
ears, and upper and lower limbs. Documentation is required specifying whether the
melanoma is in situ or if the melanoma has invaded the dermis.
Melanoma in situ can be captured with ICD-10-CM code D03,
D03 Melanoma in situ
D03.0 is a specific ICD-10-CM diagnosis code D03.0 Melanoma in situ of lip
D03.1 Melanoma in situ of eyelid, including canthus
D03.2 Melanoma in situ of ear and external auricular canal
D03.3 Melanoma in situ of other and unspecified parts of face
D03.4 Melanoma in situ of scalp and neck
D03.5 Melanoma in situ of trunk
D03.6 Melanoma in situ of upper limb, including shoulder
D03.7 Melanoma in situ of lower limb, including hip
D03.8 Melanoma in situ of other sites
D03.9 is a specific ICD-10-CM diagnosis code D03.9 Melanoma in situ,
unspecified
If the melanoma has invaded the dermis, it is recommended to code it with
C43 Malignant melanoma of skin
Medical coders at reputable medical billing companies must have a clear idea on
coding melanomas. This will ensure accuracy in documentation that is important for
appropriate patient care, as well as timely reimbursement for the medical services
provided.
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