ICD-10 Coding for Androgenetic Alopecia(L64.9, L64.0)
Complete ICD-10-CM coding and documentation guide for Androgenetic Alopecia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Androgenetic Alopecia
L64-L64.9Primary Range
Androgenetic alopecia
This range covers all forms of androgenetic alopecia, including unspecified and drug-induced types.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| L64.9 | Unspecified androgenetic alopecia | Use when androgenetic alopecia is diagnosed without specific cause or drug involvement. |
|
| L64.0 | Drug-induced androgenetic alopecia | Use when hair loss is directly linked to medication use. |
|
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 androgenetic alopecia
Essential facts and insights about Androgenetic Alopecia
Primary ICD-10-CM Codes for androgenetic alopecia
Decision Criteria
clinical Criteria
- Patterned hair loss with miniaturization
documentation Criteria
- Exclusion of drug-induced causes
Applicable To
- Male-pattern baldness
- Female-pattern hair loss
Clinical Validation Requirements
- Patterned hair loss with miniaturization of hair follicles
- Trichoscopy showing >20% vellus hairs
Code-Specific Risks
- Misclassification if drug-induced or another alopecia type is present.
Coding Notes
- Ensure documentation specifies pattern and excludes other causes.
L64.0 - Drug-induced androgenetic alopecia
Use when hair loss is directly linked to medication use.
Applicable To
- Hair loss due to medication
Excludes
- Unspecified androgenetic alopecia (L64.9)
Clinical Validation Requirements
- Temporal relationship between drug use and hair loss onset
- Exclusion of other alopecia types
Coding Notes
Document drug name, dosage, and onset of hair loss.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Androgenetic Alopecia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L64.9.
Impact
Clinical: Misdiagnosis of alopecia type., Regulatory: Potential audit failure., Financial: Denied claims due to insufficient documentation.
Mitigation Strategy
Use specific terminology for hair loss patterns., Document all diagnostic tests and results.
Impact
Reimbursement: Incorrect reimbursement due to misclassification., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use L64.0 with the appropriate drug code.
Impact
Failure to use L64.0 with appropriate drug code.
Mitigation Strategy
Educate coders on proper documentation and coding requirements.
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 Androgenetic Alopecia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Androgenetic Alopecia
Use these documentation templates to ensure complete and accurate documentation for Androgenetic Alopecia. These templates include all required elements for proper coding and billing.
Male patient with frontal-temporal recession
Specialty: DermatologyRequired Elements
- Patient history
- Trichoscopy findings
- SALT score
- Family history
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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