ICD-10 Coding for Acne Scarring(L90.5, L91.0)
Complete ICD-10-CM coding and documentation guide for Acne Scarring. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Acne Scarring
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| L90.5 | Scar conditions and fibrosis of skin | Use for atrophic acne scars when acne is no longer active. |
|
| L91.0 | Hypertrophic scars | Use for hypertrophic or keloid scars, not atrophic. |
|
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 scarring
Essential facts and insights about Acne Scarring
Primary ICD-10-CM Codes for acne scarring
Decision Criteria
clinical Criteria
- Presence of atrophic scars linked to resolved acne
documentation Criteria
- Detailed description of scar type and severity
Clinical Validation Requirements
- Documentation of scar type (e.g., atrophic, hypertrophic)
- Link to acne history
- Severity grading (e.g., ECCA score)
Code-Specific Risks
- Confusing with active acne codes
- Using without specifying scar type
Coding Notes
- Ensure documentation specifies the type and severity of scars.
L91.0 - Hypertrophic scars
Use for hypertrophic or keloid scars, not atrophic.
Applicable To
- Keloid scars
Excludes
- Atrophic acne scars (L90.5)
Clinical Validation Requirements
- Documentation of raised, thickened scars
- Link to acne history if applicable
Coding Notes
Ensure documentation specifies the type of hypertrophic scarring.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for cosmetic surgery
Z41.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Acne Scarring to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L90.5.
Impact
Clinical: Misrepresentation of patient history., Regulatory: Non-compliance with coding standards., Financial: Potential denial of claims.
Mitigation Strategy
Always document acne history with scarring., Use specific ICD-10 codes for scars.
Impact
Reimbursement: Incorrect DRG assignment may affect reimbursement., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use L90.5 for scarring when acne is resolved.
Impact
Failure to document scar type and severity can lead to audit issues.
Mitigation Strategy
Implement standardized documentation templates.
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 Scarring, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Acne Scarring
Use these documentation templates to ensure complete and accurate documentation for Acne Scarring. These templates include all required elements for proper coding and billing.
Acne Scarring with Active Acne
Specialty: DermatologyRequired Elements
- Scar type and severity
- Active acne description
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Acne Scarring? Ask your questions below.