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ICD-10 Coding for Dyshidrotic Dermatitis(L30.1)

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

Also known as:

PompholyxDyshidrosis

Related ICD-10 Code Ranges

Complete code families applicable to Dyshidrotic Dermatitis

L30-L30.9Primary Range

Other and unspecified dermatitis

L30.1 is the primary code for dyshidrotic dermatitis, which falls under the category of other dermatitis.

Contact dermatitis

Used when dyshidrotic dermatitis is secondary to contact allergens or irritants.

Key Information: ICD-10 code for dyshidrotic dermatitis

Essential facts and insights about Dyshidrotic Dermatitis

The ICD-10 code for dyshidrotic dermatitis is L30.1, used for vesicular eruptions on palms and soles.

Primary ICD-10-CM Code for dyshidrotic dermatitis

Dyshidrosis [pompholyx]
Billable Code

Decision Criteria

clinical Criteria

  • Vesicles on palms/soles with negative fungal tests

documentation Criteria

  • Detailed description of vesicles and exclusion of other dermatitis types

Applicable To

  • Vesicular eruption on palms and soles

Excludes

  • Contact dermatitis (L23-L25)
  • Atopic dermatitis (L20)

Clinical Validation Requirements

  • Presence of vesicles on palms/soles
  • Negative fungal testing

Code-Specific Risks

  • Misclassification as unspecified dermatitis (L30.9)

Coding Notes

  • Ensure documentation specifies vesicular nature and location to avoid unspecified coding.

Ancillary Codes

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

Contact with and exposure to nickel

Z77.22
Use if nickel allergy is confirmed via patch testing.

Differential Codes

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

Pustular psoriasis

L40.3
Presence of sterile pustules with silvery scales.

Tinea pedis/manuum

B35.3
Positive fungal testing (KOH prep).

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Dyshidrotic Dermatitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L30.1.

Impact

Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Increases risk of audit for unspecified coding., Financial: Potential for incorrect reimbursement.

Mitigation Strategy

Use specific terms like 'vesicular eruption' and 'tapioca appearance'.

Impact

Reimbursement: May lead to incorrect DRG assignment., Compliance: Risk of audit for unspecified coding., Data Quality: Decreases specificity in clinical data.

Mitigation Strategy

Ensure documentation specifies vesicular nature and location.

Impact

Using L30.9 instead of L30.1 when vesicles are documented.

Mitigation Strategy

Ensure documentation specifies vesicular nature and location.

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

Documentation Templates for Dyshidrotic Dermatitis

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

Primary Care Visit

Specialty: Primary Care

Required Elements

  • History of recurrence
  • Physical exam findings
  • Diagnostic tests
  • Treatment plan

Examples: Poor vs. Good Documentation

Poor Documentation Example
Rash on hands, treat with steroids.
Good Documentation Example
Recurrent crops of 2mm vesicles on bilateral palms, pruritus worse at night, KOH prep negative. Diagnosis: Dyshidrotic dermatitis (L30.1).
Explanation
The good example provides specific details about the vesicles and excludes other conditions.

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

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