Reproduced with permission. Some articles contain a large number of codes. If you are looking for a specific code, use your browser's Find function (Ctrl-F) to quickly locate the code in the article. According to the Skin Cancer Foundation, 170,000 cases of non-melanoma skin cancer in the US each year are associated with indoor tanning. All neoplasms are classified in this chapter, whether they are functionally active or not. C44.32- Squamous cell carcinoma of skin of other an unspecified parts of face Please visit the. In this context, annotation back-references refer to codes that contain: Short description: Squamous cell carcinoma skin/ upper limb, including shoulder, This is the American ICD-10-CM version of. The Medicare program provides limited benefits for outpatient prescription drugs. Use is limited to use in Medicare, Medicaid or other programs administered by the Centers for Medicare and Medicaid Services (CMS). The program covers drugs that are furnished "incident-to" a physician's service provided that the drugs are not "usually self-administered" by the patient. C44.22- Squamous cell carcinoma of skin of ear and external auricular canal recommending their use. C44.72- Squamous cell carcinoma of skin of lower limb, including hip Current Dental Terminology © 2022 American Dental Association. Note: . accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the
CMS and its products and services are not endorsed by the AHA or any of its affiliates. without the written consent of the AHA. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Reproduced with permission. Every page of the record must be legible and include appropriate patient identification information (e.g., complete name, dates of service[s]). The document is broken into multiple sections. Copyright 2023. As the post above indicates, there is an Excludes1 note, but it is incorrect in stating that they may not be billed together. The submitted medical record must support the use of the selected ICD-10-CM code(s). required field. Carcinoma In Situ ICD-10-CM Alphabetical Index The ICD-10-CM Alphabetical Index is designed to allow medical coders to look up various medical terms and connect them with the appropriate ICD codes. Proper coding is C44.02Squamous cell carcinoma of skin of lip. An asterisk (*) indicates a
8 [QUOTE="thomas7331, post: 507729, member: 5404"] The scope of this license is determined by the AMA, the copyright holder. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. C44.229 Squamous cell carcinoma of skin of left ear and external auricular canal Squamous Cell Carcinoma (SCC) 31 Coding of Neoplasms in ICD-10-CM A patient returns to the dermatologist to discuss removal of his SCC on his lower lip. However, ICD-10 codes specify the exact site on the skin along with the laterality (right or left). recipient email address(es) you enter. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm. of every MCD page. This First Coast Billing and Coding Article for Local Coverage Determination (LCD) L33818 Excision of Malignant Skin Lesions provides billing and coding guidance for frequency limitations as well as diagnosis limitations that support diagnosis to procedure code automated denials. Complete absence of all Revenue Codes indicates
Cancer in situ, skin of scalp Per the 2020 ICD-10 guidelines, 'consistent with' should be treated as an uncertain diagnosis, wh [QUOTE="TThivierge, post: 478222, member: 216725"] Since the morphology of the lesions can mimic that of other cutaneous disorders, Bowen's disease is often not recognized initially. Columbia, MO. and/or making any commercial use of UB‐04 Manual or any portion thereof, including the codes and/or descriptions, is only
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You can use your browser's Print function (Ctrl-P on a PC or Command-P on a Mac) to view a print preview and then select PDF as the output. Oct 2, 2018. The submitted CPT/HCPCS code must describe the service performed. He is an alumnus of York College of Pennsylvania and Clemson University. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. The documentation must include the legible signature of the physician or non-physician practitioner responsible for and providing the care to the patient. The following ICD-10-CM codes support medical necessity and provide limited coverage for CPT codes: 11620, 11621, 11622, 11623, 11624, and 11626. If you do not agree with all terms and conditions set forth herein, click below on the button labeled "I do not accept" and exit from this computer screen. These materials contain Current Dental Terminology (CDTTM), copyright© 2022 American Dental Association (ADA). hb```@( f p,&}5y5LJ"%%%3th/ $84C@1(6H(\Fed 6#V3gYq Noninvasive can be used as a synonym for in situ, ICD-O-3 behavior code /2. In most instances Revenue Codes are purely advisory. Copyright 2023, AAPC damages arising out of the use of such information, product, or process. The following ICD-10-CM codes support medical necessity and provide limited coverage for CPT codes: 11640, 11641, 11642, 11643, 11644, and 11646. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. "JavaScript" disabled. Please review and accept the agreements in order to view Medicare Coverage documents, which may include licensed information and codes. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. End Users do not act for or on behalf of the CMS. Federal government websites often end in .gov or .mil. ICD-10 code D04 for Carcinoma in situ of skin is a medical classification as listed by WHO under the range - Neoplasms . A Draft article will eventually be replaced by a Billing and Coding article once the Proposed LCD is released to a final LCD. Whether the site is primary, secondary, or carcinoma, Site on the skin (e.g., trunk, upper limb, or lower limb). CPT codes, descriptions and other data only are copyright 2022 American Medical Association. For example, there is no way in ICD to distinguish between an adenocarcinoma of the lung and a squamous cell carcinoma of the lung: both would be coded to C34.9. Complete absence of all Revenue Codes indicates
Squamous cell carcinoma of the anus (C210) is reportable. (carcinoma in situ of skin), excludes basal and squamous cell in situ lesions D13.7 Benign neoplasm of endocrine pancreas Note: Effective 1/1/2021: Review this code to look for the following which were . [QUOTE="mbellar, post: 509227, member: 180067"] apply equally to all claims. As in ICD-9-CM, there is a separate Table of Neoplasms. This case is reportable because there are foci of intraepithelial carcinoma (carcinoma in situ). Notice: It is not appropriate to bill Medicare for services that are not covered (as described by the entire LCD) as if they are covered. The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. The submitted medical record must support the use of the selected ICD-10-CM code(s). The following ICD-10-CM codes support medical necessity and provide limited coverage for CPT codes: 11620, 11621, 11622, 11623, 11624, and 11626. The term carcinoma in situ (or CIS) . Draft articles have document IDs that begin with "DA" (e.g., DA12345). You can use your browser's Print function (Ctrl-P on a PC or Command-P on a Mac) to view a print preview and then select PDF as the output. The Centers for Medicare & Medicaid Services (CMS), the federal agency responsible for administration of the Medicare,
Get crucial instructions for accurate ICD-10-CM D04 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code. will not infringe on privately owned rights. Before sharing sensitive information, make sure you're on a federal government site. The CPT code should reflect the knowledge, skill, time and effort that the provider invests in the excision of the lesion. C34 Malignant neoplasm of the bronchi and lung. Cutaneous SCC is an invasive disease, referring to cancer cells that have grown beyond the epidermis. Article document IDs begin with the letter "A" (e.g., A12345). 23. In this context, annotation back-references refer to codes that contain: This is the American ICD-10-CM version of. Any questions pertaining to the license or use of the CPT should be addressed to the AMA. If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. M0: no clinical or radiographic evidence of distant metastasis. %%EOF
John Verhovshek, MA, CPC, is a contributing editor at AAPC. not endorsed by the AHA or any of its affiliates. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. Medicare contractors are required to develop and disseminate Articles. #2. due to the exclude 1 note you do not code the C50 code with the D05 code so code only the invasive. The 5th character is the sex code, while the 6th character is the laterality code. Skin []. End Users do not act for or on behalf of the CMS. Popular urban legend Hi, If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. OPSCC cases were defined using the following International Classification of Disease for Oncology (ICD-O-3) site codes: base of tongue (C01.9 . Squamous cell carcinoma of skin of lip C44.09 . Very few histological types are identified in ICD. Compliance with the provisions in LCD L33818, Excision of Malignant Skin Lesions may be monitored and addressed through post payment data analysis and subsequent medical review audits. Applications are available at the American Dental Association web site. Codes should be selected from the table. Any questions pertaining to the license or use of the CPT should be addressed to the AMA. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not
No fee schedules, basic unit, relative values or related listings are included in CPT. ICD-10 code Z85.828 for Personal history of other malignant neoplasm of skin is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services . Chapter 2 classifies neoplasms primarily by site (topography), with broad groupings for behavior, malignant, in situ, benign, etc. All those not listed under the ICD-10 Codes that Support Medical Necessity section of this article. In accordance with CMS Ruling 95-1 (V), utilization of these services should be consistent with locally acceptable standards of practice. The page could not be loaded. malignant, in situ, benign, etc. This page displays your requested Article. C44.12: Squamous cell carcinoma of skin of eyelid, including canthus. The views and/or positions
recipient email address(es) you enter. Basal cell carcinoma of skin of nose. D04.10 Carcinoma in situ of skin of unspecified eyelid, including canthus D04.111 Carcinoma in situ of skin of right upper eyelid, including . Applications are available at the AMA Web site, http://www.ama-assn.org/go/cpt. If the "INDICATOR" is set to "1" additional codes from ICD-O-3 code book were used. Primary squamous-cell carcinoma of the thyroid shows an aggressive biological phenotype . The AMA is a third party beneficiary to this Agreement. It is important to remember when accessing the Neoplasm Table, to look under the main term Skin, first, then drop to the body part, to locate the appropriate code. All neoplasms are classified in this chapter, whether they are functionally active or not. All neoplasms are classified in this chapter, whether they are functionally active or not. You, your employees and agents are authorized to use CPT only as agreed upon with the AMA internally within your organization within the United States for the sole use by yourself, employees and agents. The submitted CPT/HCPCS code must describe the service performed. C44.52- Squamous cell carcinoma of skin of trunk Subject to the terms and conditions contained in this Agreement, you, your employees and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. CMS and its products and services are not endorsed by the AHA or any of its affiliates. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential
You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. Proper coding is C44.622 Squamous cell carcinoma of skin of right upper limb, including shoulder. C44.311 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes. Key words: These rules can be found i n the front of the ICD-O-3 code book. can we bill dx M54.42 and M51.16 together? The patient is informed that the biopsy results confirm squamous cell carcinoma. that coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes. C44.62- Squamous cell carcinoma of skin of upper limb, including shoulder of the Medicare program. For multiple neoplasms of the same site that are not contiguous, such as tumors in different quadrants of the same breast, codes for each site should be assigned. The AMA does not directly or indirectly practice medicine or dispense medical services. These codes can be used for all HIPAA-covered transactions. Sign up to get the latest information about your choice of CMS topics in your inbox. Applicable FARS/HHSARS apply. By clicking below on the button labeled "I accept", you hereby acknowledge that you have read, understood and agreed to all terms and conditions set forth in this agreement. The submitted medical record must support the use of the selected ICD-10-CM code(s). "JavaScript" disabled. However, services performed for any given diagnosis must meet all of the indications and limitations stated in the LCD, the general requirements for medical necessity as stated in CMS payment policy manuals, any and all existing CMS national coverage determinations, and all Medicare payment rules. Information. Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes,
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All rights reserved. The Table of Neoplasms should be used to identify the correct topography code. The main histological types of NSCLC are adenocarcinoma, squamous cell and large cell carcinoma. C44.02 Squamous cell carcinoma of skin of lip Example 32 Coding of Neoplasms in ICD-10-CM _, C68. If you are looking for a specific code, use your browser's Find function (Ctrl-F) to quickly locate the code in the article. Instructions for enabling "JavaScript" can be found here. Unless specified in the article, services reported under other
Medicaid and the State Children's Health Insurance Programs, contracts with certain organizations to assist in the administration
The American Hospital Association ("the AHA") has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. Revenue Codes are equally subject to this coverage determination. The term vulval intraepithelial neoplasia describes two conditions with different biological behaviour: usual type and differentiated type. thank you i will Hi you could code both and use the exclude 1 exception if documentation were to indicate invasive in one breast and in-situ in the other. Medicaid and the State Children's Health Insurance Programs, contracts with certain organizations to assist in the administration
No fee schedules, basic unit, relative values or related listings are included in CPT. . Instructions for enabling "JavaScript" can be found here. 2016 (effective 10/1/2015): New code (first year of non . You can use the Contents side panel to help navigate the various sections. This Agreement will terminate upon notice if you violate its terms. hbbd```b``+A$S2Xd,@$k5XDO0y
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All rights reserved. Also, you can decide how often you want to get updates. Verrucous carcinoma is a type of squamous cell carcinoma (SCC) that can develop in your gums and cheeks the oral cavity as well as your genitals and feet. See page 66 in ICD-O-3. Sign up to get the latest information about your choice of CMS topics in your inbox. For multiple neoplasms of the same site that are not contiguous, such as tumors in different quadrants of the same breast, codes for each site should be assigned. If you would like to extend your session, you may select the Continue Button. Another option is to use the Download button at the top right of the document view pages (for certain document types). The codes for squamous cell carcinoma are under category C44 Other and unspecified malignant neoplasm of skin. Please do not use this feature to contact CMS. Billing The Table of Neoplasms should be used to identify the correct topography code. Condition ICD-10-CM Codes ICD-9-CM Codes Non-malignant skin cancer C44 (other and unspecified malignant . The medical record/ progress note should indicate the removal of a malignant or an ambiguous, but moderate to high suspicion lesion with a corresponding pathology report.The size and location of the lesion should be documented in the operative report. When billing for non-covered services, use the appropriate modifier. Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense Federal Acquisition Regulation supplement (DFARS) Restrictions Apply to Government Use. It is the providers responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted. Before sharing sensitive information, make sure you're on a federal government site. Vulval (or vulvar) intraepithelial neoplasia is a pre-cancerous skin lesion (a type of squamous cell carcinoma in situ) that can affect any part of the vulva . This section shows you chapter-specific coding guidelines to increase your understanding and correct usage of the target ICD-10-CM Volume 1 code. Primary malignant neoplasms overlapping site boundaries. The codes for squamous cell carcinoma are under category C44 Other and unspecified malignant neoplasm of skin. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Primary malignant neoplasms overlapping site boundaries. All Rights Reserved (or such other date of publication of CPT). The Table of Neoplasms should be used to identify the correct topography code. If you are acting on behalf of an organization, you represent that you are authorized to act on behalf of such organization and that your acceptance of the terms of this agreement creates a legally enforceable obligation of the organization. All neoplasms are classified in this chapter, whether they are functionally active or not. I hope this helps you. descriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work
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He has been covering medical coding and billing, healthcare policy, and the business of medicine since 1999. Your MCD session is currently set to expire in 5 minutes due to inactivity. Subscribe to Codify by AAPC and get the code details in a flash. (based on ajcc cancer staging). Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not
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Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available. . ICD 10. Draft articles are articles written in support of a Proposed LCD. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes. [*]Carcinoma in situ of skin of neck For example, 173.22:Squamous cell carcinoma of the skin of the ear and external auditory canal. Billing and Coding articles provide guidance for the related Local Coverage Determination (LCD) and assist providers in submitting correct claims for payment. The CMS.gov Web site currently does not fully support browsers with
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Therefore, if a drug is self-administered by more than 50 percent of Medicare beneficiaries, the drug is excluded from coverage" and the MAC will make no payment for the drug. squamous cell carcinoma in situ icd 10: The AMA does not directly or indirectly practice medicine or dispense medical services. . icd 10 code for bone marrow edema right knee. The code lists in the article help explain which services (procedures) the related LCD applies to, the diagnosis codes for which the service is covered, or for which the service is not considered reasonable and necessary and therefore not covered. Neither the United States Government nor its employees represent that use of such information, product, or processes
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This would be most appropriately reported using the excision of benign lesion codes 11400-11446. 5th digit 1: Basal cell carcinoma of skin 5th digit 2: Squamous cell carcinoma of skin 5th digit 9: Other specific malignant neoplasm of skin : Kaposi Sarcoma (46) . C44.02 Squamous cell carcinoma of skin of lip Contractors may specify Bill Types to help providers identify those Bill Types typically
MACs are Medicare contractors that develop LCDs and Articles along with processing of Medicare claims. To submit a comment or question to CMS, please use the Feedback/Ask a Question link available at the bottom
The term "in situ" added on the end tells us that this is a surface form of skin cancer. %PDF-1.5
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that coverage is not influenced by Bill Type and the article should be assumed to
Per the 2020 ICD-10 guidelines, 'consistent with D04.4 would be incorrect as this is documented neither [I]in situ [/I]nor as a carcinoma of the skin. how would you code the excessive bleeding from SCC of the left side of nose and most of the left cheek? Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled "I Accept". C44.02 Squamous cell carcinoma of skin of lip C44.12- Squamous cell carcinoma of skin of eyelid, including canthus apply equally to all claims. All neoplasms are classified in this chapter, whether they are functionally active or not. SCCs often occur on the sun-exposed areas of the body, such as the rim of the ear, lower lip, face, bald scalp, neck, hands, arms, and legs. Complete absence of all Bill Types indicates
The submitted CPT/HCPCS code must describe the service performed. The Table of Neoplasms should be used to identify the correct topography code. When a lesion is excised that is a neoplasm of uncertain morphology (e.g., melanoma vs. dyplastic nevi), choose the correct CPT code based on the manner in which the lesion is excised rather than the final pathological diagnosis. Request a Demo 14 Day Free Trial Buy Now Official Long Descriptor Revenue Codes are equally subject to this coverage determination. Local Coverage Articles are a type of educational document published by the Medicare Administrative Contractors (MACs). This Agreement will terminate upon notice if you violate its terms. Create your account. Thank you for your comment. The remaining 15% is accounted for by small cell carcinoma. GOVERNMENT AND ITS EMPLOYEES ARE NOT LIABLE FOR ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION, PRODUCT, OR PROCESSES
The medical record/progress note should indicate the removal of a malignant lesion with a corresponding pathology report or a clinical description consistent with a skin malignancy. CPT is a trademark of the American Medical Association (AMA). CPT codes, descriptions and other data only are copyright 2022 American Medical Association. Draft articles are articles written in support of a Proposed LCD. These materials contain Current Dental Terminology (CDTTM), copyright© 2022 American Dental Association (ADA). Check out the dx block of D04.4. Primary malignant neoplasms overlapping site boundaries. B5l2`4'l2_v n6M#~zx#d[mp1VXlu[1NWJu~@}Z~@R'h&\x$f$e"
=ih9L|-U*|=LeXOs9"eY9j=IYRh{p "AYqn[sNxD!D>* Hqq0.DzXCX|P| VGi] kb$+%=IpzpTkk*. ICDO3 codes, behaviors and terms are sitespecific Updated 8/22/2018 Numeric Order by Morphology Code Status ICDO3 Morphology Code Term Reportable Y/N Comments New Term 8010/3 Urachal carcinoma (C65.9, C66.9, C67. Sometimes, a large group can make scrolling thru a document unwieldy. All those not listed under the ICD-10- Codes that Support Medical Necessity section of this article. To submit a comment or question to CMS, please use the Feedback/Ask a Question link available at the bottom
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A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere. Use of indoor UV tanning equipment increases a persons risk of developing squamous cell carcinoma by 67 percent. The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. The views and/or positions presented in the material do not necessarily represent the views of the AHA. There are 90 terms under the parent term 'Carcinoma In Situ' in the ICD-10-CM Alphabetical Index . copied without the express written consent of the AHA. Code History. Youll find a lot of suggestions and better answers to your question in the Member Forums. It begins in the squamous cells, which comprise most of the skins epidermis. Tis: carcinoma in situ. Response to Comment (RTC) articles list issues raised by external stakeholders during the Proposed LCD comment period. In a few cases, such as for malignant melanoma and certain . This email will be sent from you to the
accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the
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Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available. Noninvasive can be used as a synonym for in situ, ICD-O-3 behavior code /2. not endorsed by the AHA or any of its affiliates. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. The 4.2 cm excised diameter lesion Self-Administered Drug (SAD) Exclusion List articles list the CPT/HCPCS codes that are excluded from coverage under this category. Basal cell carcinoma of skin, unspecified. complete information, CMS does not guarantee that there are no errors in the information displayed on this web site. Conjunctival squamous cell carcinoma (conjunctival SCC) and corneal intraepithelial neoplasia comprise what are called ocular surface squamous cell neoplasias.