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ICD-10 Coding for Contact Dermatitis(L23.0, L24.0, L25.9)

Complete ICD-10-CM coding and documentation guide for Contact Dermatitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Allergic Contact DermatitisIrritant Contact Dermatitis

Related ICD-10 Code Ranges

Complete code families applicable to Contact Dermatitis

L23-L25Primary Range

Contact Dermatitis

This range includes codes for allergic, irritant, and unspecified contact dermatitis.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
L23.0Allergic contact dermatitis due to metalsUse when an allergen metal is confirmed as the cause of dermatitis.
  • Positive patch test to specific metal
L24.0Irritant contact dermatitis due to detergentsUse when dermatitis is caused by irritant exposure, such as detergents.
  • History of exposure to irritant
L25.9Unspecified contact dermatitisUse when the cause of contact dermatitis cannot be specified.
  • Lack of specific allergen or irritant identification

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 allergic contact dermatitis

Essential facts and insights about Contact Dermatitis

The ICD-10 code for allergic contact dermatitis due to metals is L23.0. Use this code when an allergen metal is confirmed as the cause.

Primary ICD-10-CM Codes for contact dermatitis

Allergic contact dermatitis due to metals
Billable Code

Decision Criteria

clinical Criteria

  • Positive patch test to metal

Applicable To

  • Nickel allergy

Excludes

  • Irritant contact dermatitis (L24.-)

Clinical Validation Requirements

  • Positive patch test to specific metal

Code-Specific Risks

  • Misclassification if allergen is not confirmed

Coding Notes

  • Ensure allergen is documented and confirmed via testing.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Adverse effect of latex

T65.815A
Use when documenting latex allergy as a cause of dermatitis.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Irritant contact dermatitis due to detergents

L24.0
Use L24.0 if the dermatitis is due to irritant exposure, not an allergen.

Allergic contact dermatitis due to metals

L23.0
Use L23.0 if dermatitis is due to an allergen, not an irritant.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Contact Dermatitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L23.0.

Impact

Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.

Mitigation Strategy

Use structured templates, Educate staff on documentation standards

Impact

Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.

Mitigation Strategy

Ensure specific allergen or irritant is documented and use appropriate code.

Impact

Using unspecified codes when specific codes are available.

Mitigation Strategy

Ensure thorough documentation of exposure and test results.

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 Contact Dermatitis, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Contact Dermatitis

Use these documentation templates to ensure complete and accurate documentation for Contact Dermatitis. These templates include all required elements for proper coding and billing.

Allergic Contact Dermatitis

Specialty: Dermatology

Required Elements

  • Exposure history
  • Patch test results
  • Clinical findings

Example Documentation

Patient presents with pruritic rash on hands after wearing nickel jewelry. Patch test positive for nickel. Diagnosis: Allergic contact dermatitis due to nickel (L23.0).

Examples: Poor vs. Good Documentation

Poor Documentation Example
Rash on hands.
Good Documentation Example
Pruritic rash on hands after nickel exposure. Patch test positive for nickel. Diagnosis: Allergic contact dermatitis due to nickel (L23.0).
Explanation
The good example provides specific exposure and test results, supporting the diagnosis.

Need help with ICD-10 coding for Contact Dermatitis? Ask your questions below.

Ask about any ICD-10 CM code, or paste a medical note

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