ICD Code L72.3

ICD code L72.3 is a classification used to identify a sebaceous cyst, which is a non-cancerous, closed sac under the skin filled with a cheese-like or oily material. These cysts are typically found on the face, neck, or torso and are caused by blocked sebaceous glands. They are generally harmless but can become infected or cause discomfort, necessitating medical attention. This code is utilized in healthcare settings for accurate diagnosis, treatment planning, and billing purposes.

1. Presence of a Lump or Bump: The patient presents with a noticeable lump or bump beneath the skin, typically on the face, neck, or torso.

2. Non-Painful Swelling: The swelling is generally non-painful, although it may become tender or painful if infected or inflamed.

3. Slow Growth: The lump has been growing slowly over time, often remaining stable in size for extended periods.

4. Smooth and Mobile: On examination, the lump feels smooth and is easily movable under the skin.

5. Central Punctum: A small, central opening or punctum may be visible on the surface of the cyst, which can sometimes discharge a cheesy, foul-smelling material.

6. No Systemic Symptoms: The patient does not exhibit systemic symptoms such as fever or malaise unless secondary infection occurs.

7. History of Similar Lesions: The patient may have a history of similar lesions that have resolved spontaneously or required previous treatment.

8. Exclusion of Other Conditions: Other potential causes of skin lumps, such as lipomas, abscesses, or malignant growths, have been ruled out through clinical evaluation or diagnostic imaging if necessary.

For the ICD code L72.3, which pertains to a sebaceous cyst, the relevant CPT codes that may be used for treatment include:

1. 10060 - Incision and drainage of abscess (e.g., carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single.

2. 10061 - Incision and drainage of abscess (e.g., carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple.

3. 11400 - Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms, or legs; excised diameter 0.5 cm or less.

4. 11401 - Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms, or legs; excised diameter 0.6 to 1.0 cm.

5. 11402 - Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms, or legs; excised diameter 1.1 to 2.0 cm.

6. 11403 - Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms, or legs; excised diameter 2.1 to 3.0 cm.

7. 11404 - Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms, or legs; excised diameter 3.1 to 4.0 cm.

8. 11406 - Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms, or legs; excised diameter over 4.0 cm.

These CPT codes are typically used to document the procedures associated with the treatment of a sebaceous cyst, depending on the complexity and size of the lesion. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed.

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