ICD-10 Code for melanoma
The ICD-10-CM code for melanoma is C43.9 when documented without further specification. HCC RxHCC Malignant melanoma of the skin codes in category C43. C43.9 is an unspecified site. Code selection is driven by the anatomic skin site - lip (C43.0), eyelid including canthus (C43.1-), ear and external auricular canal (C43.2-) - and, for paired sites, laterality (right, left).
C43.9 is a risk-adjusting diagnosis under CMS-HCC and RxHCC models. Create a free account to see model versions, RAF contribution, and AI-powered HCC suppression analysis.
Which Code Should You Use?
What to Document
- The anatomic skin site - lip (C43.0), eyelid including canthus (C43.1-), ear and external auricular canal (C43.2-), or another site.
- Laterality for paired sites - right versus left eyelid or ear (e.g., C43.111 right upper eyelid).
- The histology/morphology as documented by pathology (that the lesion is a malignant melanoma).
Common Documentation Pitfalls
- Do not leave melanoma at the unspecified-site C43.9 when the skin site is documented - a specific C43 code applies.
- For paired sites (eyelid, ear), laterality and sub-site are part of the code - confirm them (e.g., right upper eyelid C43.111 vs right lower eyelid C43.112).
Also Known As
Official ICD-10-CM Alphabetic Index terms that point to C43.9:
- Melanoma (malignant)
- Melanoma (malignant) › skin
- Melanoma (malignant) › skin › skin NEC
Coding Notes
C43.9 is malignant melanoma of skin, unspecified site. The documented anatomic site - lip (C43.0), eyelid (C43.1-), ear (C43.2-), and others - and, for paired sites, laterality drive a specific C43 code. The unspecified default should be rare when the pathology and site are recorded.
Prevalence & Statistics
- In 2023, an estimated 1,573,288 people in the United States were living with melanoma of the skin. (NCI SEER Cancer Stat Facts: Melanoma of the Skin, 2023)