ICD-10 Coding for Drug Rash(L27.0, L27.1)
Complete ICD-10-CM coding and documentation guide for Drug Rash. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Drug Rash
L27Primary Range
Dermatitis due to substances taken internally
Primary range for coding drug-induced rashes, distinguishing between generalized and localized eruptions.
Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances
Used as ancillary codes to specify the causative drug of the rash.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| L27.0 | Generalized skin eruption due to drugs and medicaments | Use when the rash is generalized and directly linked to drug intake. |
|
| L27.1 | Localized skin eruption due to drugs and medicaments | Use when the rash is localized and directly linked to drug intake. |
|
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 drug rash
Essential facts and insights about Drug Rash
Primary ICD-10-CM Codes for drug rash
Decision Criteria
clinical Criteria
- Rash covers more than 50% of the body surface area.
Clinical Validation Requirements
- Rash involving >50% body surface area
- Temporal relationship with drug intake
Code-Specific Risks
- Misclassification if not properly documented as generalized.
Coding Notes
- Ensure documentation specifies 'generalized' and links to drug intake.
L27.1 - Localized skin eruption due to drugs and medicaments
Use when the rash is localized and directly linked to drug intake.
Applicable To
- Localized drug rash
Excludes
- Contact dermatitis (L23-L25)
- Urticaria (L50.-)
Clinical Validation Requirements
- Rash confined to a specific region
- Temporal relationship with drug intake
Coding Notes
Ensure documentation specifies 'localized' and links to drug intake.
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 Drug Rash to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L27.0.
Impact
Clinical: Inaccurate patient records., Regulatory: Potential audit issues., Financial: Loss of reimbursement opportunities.
Mitigation Strategy
Use templates to ensure all relevant details are captured., Regular training on documentation standards.
Impact
Reimbursement: Potential underpayment due to incorrect coding., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure documentation explicitly links the rash to a specific drug.
Impact
Incorrect sequencing of L27.x and T36-T50 codes.
Mitigation Strategy
Regular audits and coder training.
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 Drug Rash, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Drug Rash
Use these documentation templates to ensure complete and accurate documentation for Drug Rash. These templates include all required elements for proper coding and billing.
Generalized Drug Rash
Specialty: DermatologyRequired Elements
- Drug name and dose
- Onset and duration of rash
- Extent and distribution of rash
- Associated symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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