ICD-10 Coding for Anal Skin Tag(K64.4, L91.8)
Complete ICD-10-CM coding and documentation guide for Anal Skin Tag. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Anal Skin Tag
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K64.4 | Residual hemorrhoidal skin tags | Use when the skin tag is a residual effect of previous hemorrhoids. |
|
| L91.8 | Other hypertrophic disorders of the skin | Use for skin tags not associated with hemorrhoids. |
|
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 anal skin tag
Essential facts and insights about Anal Skin Tag
Primary ICD-10-CM Codes for anal skin tag
Decision Criteria
clinical Criteria
- Presence of a perianal skin tag with a history of hemorrhoids.
Applicable To
- Perianal skin tag
- Skin tag from resolved hemorrhoids
Excludes
- Congenital skin tags
- Non-hemorrhoidal skin tags
Clinical Validation Requirements
- History of hemorrhoids
- Perianal location
- Symptoms like fecal seepage or irritation
Code-Specific Risks
- Misclassification as a general skin tag
- Lack of documentation for hemorrhoid history
Coding Notes
- Ensure documentation includes history of hemorrhoids to justify K64.4.
L91.8 - Other hypertrophic disorders of the skin
Use for skin tags not associated with hemorrhoids.
Applicable To
- General skin tags
Excludes
- Residual hemorrhoidal skin tags
Clinical Validation Requirements
- No history of hemorrhoids
- Generalized skin tag locations
Coding Notes
Ensure no history of hemorrhoids is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Rash and other nonspecific skin eruption
R21Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Anal Skin Tag to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K64.4.
Impact
Clinical: Inadequate justification for procedure., Regulatory: Non-compliance with payer requirements., Financial: Potential claim denial.
Mitigation Strategy
Include detailed symptom description, Link symptoms to medical necessity
Impact
Reimbursement: Potential denial due to incorrect coding., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate medical records.
Mitigation Strategy
Verify hemorrhoid history and use K64.4 if applicable.
Impact
Using L91.8 instead of K64.4 for hemorrhoidal tags.
Mitigation Strategy
Ensure thorough review of patient history for hemorrhoids.
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 Anal Skin Tag, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Anal Skin Tag
Use these documentation templates to ensure complete and accurate documentation for Anal Skin Tag. These templates include all required elements for proper coding and billing.
Excision of anal skin tag due to irritation
Specialty: General SurgeryRequired Elements
- Patient history
- Physical exam findings
- Rationale for removal
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Anal Skin Tag? Ask your questions below.