ICD-10 Coding for Acne Vulgaris(L70.0, L70.1, L70.5)
Complete ICD-10-CM coding and documentation guide for Acne Vulgaris. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Acne Vulgaris
L70-L75Primary Range
Diseases of the skin and subcutaneous tissue related to acne
This range includes various forms of acne, with L70.0 specifically for acne vulgaris.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| L70.0 | Acne Vulgaris | Use when documenting typical acne vulgaris with comedones, papules, and pustules. |
|
| L70.1 | Acne Conglobata | Use when documentation describes interconnected nodules or cystic lesions. |
|
| L70.5 | Acne Excoriée | Use when documentation includes patient behavior of picking at lesions. |
|
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 vulgaris
Essential facts and insights about Acne Vulgaris
Primary ICD-10-CM Codes for acne vulgaris
Decision Criteria
clinical Criteria
- Presence of comedones, papules, or pustules without systemic symptoms.
documentation Criteria
- Detailed lesion description and severity classification.
Applicable To
- Open and closed comedones
- Papules
- Pustules
Clinical Validation Requirements
- Presence of comedones, papules, or pustules
- Distribution on face, back, or chest
- Severity classification (mild, moderate, severe)
Code-Specific Risks
- Confusion with acneiform rash due to drugs
- Incorrect severity documentation
Coding Notes
- Ensure documentation specifies lesion types and severity to avoid unspecified coding.
L70.1 - Acne Conglobata
Use when documentation describes interconnected nodules or cystic lesions.
Applicable To
- Interconnected nodules
- Cystic lesions
Excludes
- Acne vulgaris (L70.0)
Clinical Validation Requirements
- Presence of interconnected nodules or cysts
- Scarring
Coding Notes
Ensure documentation specifies nodular or cystic nature.
L70.5 - Acne Excoriée
Use when documentation includes patient behavior of picking at lesions.
Applicable To
- Self-induced lesions from picking
Excludes
- Acne vulgaris (L70.0)
Clinical Validation Requirements
- Behavioral notes of picking or excoriation
Coding Notes
Document patient behavior explicitly to support this code.
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 Vulgaris to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L70.0.
Impact
Clinical: Lack of specificity affects treatment decisions., Regulatory: Potential audit trigger., Financial: May lead to claim denials.
Mitigation Strategy
Ensure follow-up documentation specifies lesion types., Avoid using unspecified codes when details are available.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use L27.0 for drug-induced acneiform eruptions.
Impact
Using unspecified codes without adequate documentation.
Mitigation Strategy
Ensure documentation includes specific lesion types and severity.
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 Vulgaris, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Acne Vulgaris
Use these documentation templates to ensure complete and accurate documentation for Acne Vulgaris. These templates include all required elements for proper coding and billing.
Typical Acne Vulgaris Case
Specialty: DermatologyRequired Elements
- Lesion types
- Distribution
- Severity
- Treatment plan
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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