ICD-10 Coding for Dermatillomania(F42.4)
Complete ICD-10-CM coding and documentation guide for Dermatillomania. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Dermatillomania
F40-F48Primary Range
Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders
This range includes disorders characterized by anxiety and related behaviors, including dermatillomania.
Diseases of the skin and subcutaneous tissue
This range includes skin conditions that may be secondary to dermatillomania or require differentiation.
Key Information: ICD-10 code for dermatillomania
Essential facts and insights about Dermatillomania
Primary ICD-10-CM Code for dermatillomania
Decision Criteria
clinical Criteria
- Recurrent skin picking causing significant distress
coding Criteria
- Exclude dermatological conditions as primary cause
Applicable To
- Recurrent skin picking resulting in skin lesions
Excludes
- Skin picking due to dermatological conditions
Clinical Validation Requirements
- Recurrent skin picking causing lesions
- Repeated attempts to decrease or stop skin picking
- Significant distress or impairment in functioning
Code-Specific Risks
- Misclassification as a dermatological condition
- Inappropriate use of injury codes
Coding Notes
- Ensure documentation clearly indicates psychological origin to avoid misclassification.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other specified disorders of skin and subcutaneous tissue
L98.8Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Erythema intertrigo
L30.4Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Dermatillomania to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F42.4.
Impact
Clinical: Misdiagnosis as a dermatological condition., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure thorough psychological assessment, Document exclusion of dermatological causes
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Misrepresentation of patient data.
Mitigation Strategy
Use F42.4 for psychogenic cases and avoid injury codes unless trauma is involved.
Impact
Failure to document psychological origin can lead to audit issues.
Mitigation Strategy
Ensure comprehensive documentation of psychological assessments and exclusion of dermatological causes.
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 Dermatillomania, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Dermatillomania
Use these documentation templates to ensure complete and accurate documentation for Dermatillomania. These templates include all required elements for proper coding and billing.
Psychiatric Evaluation for Dermatillomania
Specialty: PsychiatryRequired Elements
- History of skin picking
- Failed cessation attempts
- Functional impairment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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