ICD-10 Coding for Cystic Acne(L70.1)
Complete ICD-10-CM coding and documentation guide for Cystic Acne. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cystic Acne
L70.0-L70.9Primary Range
Acne
This range includes all types of acne, with L70.1 specifically for cystic acne.
Key Information: ICD-10 code for cystic acne
Essential facts and insights about Cystic Acne
Primary ICD-10-CM Code for cystic acne
Decision Criteria
clinical Criteria
- Presence of nodulocystic lesions and scarring
documentation Criteria
- Detailed description of lesion size and type
Clinical Validation Requirements
- Presence of interconnected comedones
- Nodules greater than 5mm
- Abscesses and sinus tracts
- Scarring
Code-Specific Risks
- Misclassification as unspecified acne
- Failure to document nodulocystic features
Coding Notes
- Ensure detailed documentation of lesion types and systemic symptoms.
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 Cystic Acne to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L70.1.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Use specific terms like 'nodulocystic lesions', Include lesion count and size
Impact
Reimbursement: May lead to incorrect DRG assignment and reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Replace with L70.1 when nodulocystic lesions are documented.
Impact
Inaccurate lesion description can lead to audit findings.
Mitigation Strategy
Ensure thorough and specific documentation of all clinical findings.
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 Cystic Acne, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cystic Acne
Use these documentation templates to ensure complete and accurate documentation for Cystic Acne. These templates include all required elements for proper coding and billing.
Dermatology H&P
Specialty: DermatologyRequired Elements
- Lesion count and type
- Presence of sinus tracts
- Scarring assessment
- Systemic symptoms
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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