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C43.21

Billable

Malignant melanoma of right ear and external auricular canal

HCC Category Mapping

V28HCC 23Melanoma and Other Skin Cancers
0.251
V24HCC 12Breast, Prostate, and Other Cancers and Tumors
0.150
ESRDHCC 12Breast, Prostate, and Other Cancers and Tumors
0.000
RxHCCHCC 22Cancer, Other Specified Sites
0.000

What This Code Means

A type of skin cancer (melanoma) that starts on the right ear or in the right ear canal.

Coding Tips

  • Confirm right ear laterality is explicitly documented before assigning this code
  • This code includes both the external ear surface and the external auditory canal

Clinical Significance

Malignant melanoma of the right ear and external auricular canal. The ear is a high-risk site for melanoma due to chronic sun exposure. Melanomas of the ear have higher recurrence and nodal metastasis rates than melanomas at most other body sites. Wide excision often requires partial ear resection with reconstruction.

Documentation Requirements

  • Right ear laterality explicitly documented
  • Specific anatomic subsite (helix, antihelix, lobule, tragus, concha, external canal)
  • Breslow depth (thickness in millimeters)
  • Ulceration status and mitotic rate
  • Sentinel lymph node biopsy of parotid and cervical basins
  • AJCC staging and treatment plan

Commonly Confused Codes

Code Hierarchy

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