ICD-10 Coding for Acne Rosacea(L71.8, L71.9)
Complete ICD-10-CM coding and documentation guide for Acne Rosacea. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Acne Rosacea
L71.0-L71.9Primary Range
Rosacea
This range includes all types of rosacea, with specific codes for different subtypes including acne rosacea.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| L71.8 | Other rosacea | Use when rosacea is specified as papulopustular or acne rosacea. |
|
| L71.9 | Unspecified rosacea | Use when rosacea is documented without specifying a subtype. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for acne rosacea
Essential facts and insights about Acne Rosacea
Primary ICD-10-CM Codes for acne rosacea
Decision Criteria
clinical Criteria
- Presence of papules and pustules without comedones
documentation Criteria
- Explicit mention of 'papulopustular' or 'acne rosacea'
Applicable To
- Papulopustular rosacea
- Acne rosacea
Excludes
- Acne vulgaris (L70.0)
Clinical Validation Requirements
- Persistent erythema
- Papules and pustules
- Absence of comedones
Code-Specific Risks
- Confusion with acne vulgaris codes
Coding Notes
- Ensure documentation specifies 'papulopustular' or 'acne rosacea' to use L71.8.
L71.9 - Unspecified rosacea
Use when rosacea is documented without specifying a subtype.
Clinical Validation Requirements
- General facial erythema without specific subtype
Coding Notes
Query provider for more specific subtype if possible.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Long-term (current) use of hormonal contraceptives
Z79.3Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Acne Rosacea to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L71.8.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Educate clinicians on documentation requirements., Use templates that prompt for subtype specification.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use L71.8 when pustules are present without comedones.
Impact
Frequent use of L71.9 without attempting to specify subtype.
Mitigation Strategy
Implement provider queries for more specific documentation.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Acne Rosacea, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Acne Rosacea
Use these documentation templates to ensure complete and accurate documentation for Acne Rosacea. These templates include all required elements for proper coding and billing.
Diagnosis of papulopustular rosacea
Specialty: DermatologyRequired Elements
- Patient history
- Symptom description
- Subtype specification
- Treatment plan
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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