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C43.22

Billable

Malignant melanoma of left 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 left ear or in the left ear canal.

Coding Tips

  • Verify left ear laterality is clearly stated in the medical record
  • Distinguish from right ear melanoma (C43.21) based on documented location

Clinical Significance

Malignant melanoma of the left ear and external auricular canal. Like right ear melanomas, left ear melanomas carry a higher metastatic risk than melanomas at many other skin sites. Sun protection of the ears is often neglected, contributing to higher incidence. Accurate laterality coding supports clinical tracking and risk adjustment.

Documentation Requirements

  • Left ear laterality explicitly documented
  • Specific anatomic subsite on the ear
  • Breslow depth and Clark level
  • Ulceration status and mitotic rate
  • Sentinel lymph node biopsy results
  • AJCC staging and treatment plan

Commonly Confused Codes

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