ICD-10 Coding for Androgenic Alopecia(L64.9, L64.0, L64.8)
Complete ICD-10-CM coding and documentation guide for Androgenic Alopecia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Androgenic Alopecia
L64-L64.9Primary Range
Androgenic alopecia
This range covers all forms of androgenic alopecia, including unspecified, drug-induced, and other specified 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 androgenic alopecia | Use when androgenic alopecia is diagnosed but not further specified. |
|
| L64.0 | Drug-induced androgenic alopecia | Use when hair loss is directly linked to medication use. |
|
| L64.8 | Other specified androgenic alopecia | Use for specific types of androgenic alopecia not classified elsewhere. |
|
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 androgenic alopecia
Essential facts and insights about Androgenic Alopecia
Primary ICD-10-CM Codes for androgenic alopecia
Decision Criteria
clinical Criteria
- Presence of patterned hair loss with no specific cause identified.
Applicable To
- Male-pattern baldness
- Female-pattern hair loss
Clinical Validation Requirements
- Patterned hair loss
- Family history of AGA
- Trichoscopy showing miniaturization
Code-Specific Risks
- Overuse of unspecified code without clinical justification
Coding Notes
- Ensure documentation supports the use of an unspecified code.
L64.0 - Drug-induced androgenic alopecia
Use when hair loss is directly linked to medication use.
Applicable To
- Hair loss due to medication
Clinical Validation Requirements
- Temporal relationship between drug initiation and hair loss
- Trichoscopy showing miniaturization
Coding Notes
Document the specific drug and its temporal relationship to hair loss.
L64.8 - Other specified androgenic alopecia
Use for specific types of androgenic alopecia not classified elsewhere.
Applicable To
- Premature androgenic alopecia
Clinical Validation Requirements
- Early-onset patterned hair loss
- Family history of early baldness
Coding Notes
Ensure specific type of alopecia is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Adverse effect of drugs primarily affecting androgen levels
T38.4x5ADifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Telogen effluvium
L65.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Androgenic 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: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Include detailed history and examination findings., Specify type and cause of alopecia.
Impact
Reimbursement: May lead to denied claims due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Review clinical documentation for specific causes or types of alopecia.
Impact
High use of unspecified codes without supporting documentation.
Mitigation Strategy
Ensure detailed documentation supports code selection.
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 Androgenic Alopecia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Androgenic Alopecia
Use these documentation templates to ensure complete and accurate documentation for Androgenic Alopecia. These templates include all required elements for proper coding and billing.
Drug-Induced Androgenic Alopecia
Specialty: DermatologyRequired Elements
- Patient history
- Medication list
- Trichoscopy results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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