ICD-10 Coding for Excoriation of Skin(F42.4, L98.1)
Complete ICD-10-CM coding and documentation guide for Excoriation of Skin. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Excoriation of Skin
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F42.4 | Excoriation (skin-picking) disorder | Use when skin picking is due to a mental health disorder meeting DSM-5 criteria. |
|
| L98.1 | Factitial dermatitis | Use when lesions are self-inflicted but do not meet OCD criteria. |
|
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 excoriation disorder
Essential facts and insights about Excoriation of Skin
Primary ICD-10-CM Codes for excoriation of skin
Decision Criteria
clinical Criteria
- Patient meets DSM-5 criteria for excoriation disorder.
Applicable To
- Recurrent skin picking resulting in skin lesions
Excludes
- Self-inflicted skin lesions without OCD criteria
Clinical Validation Requirements
- Recurrent skin picking despite attempts to stop
- Lesions cause significant distress or impairment
- No improvement with dermatologic treatments alone
Code-Specific Risks
- Misclassification if psychiatric criteria are not met
Coding Notes
- Ensure documentation supports psychiatric diagnosis.
L98.1 - Factitial dermatitis
Use when lesions are self-inflicted but do not meet OCD criteria.
Applicable To
- Self-inflicted skin lesions
Excludes
- Lesions due to OCD-related skin picking
Clinical Validation Requirements
- Intentional skin damage without psychiatric diagnosis
Coding Notes
Document the absence of psychiatric criteria.
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 Excoriation of Skin 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 risk, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Detail psychiatric criteria, Include impact on daily life
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure psychiatric criteria are documented for F42.4.
Impact
Lack of detailed psychiatric evaluation for F42.4.
Mitigation Strategy
Ensure DSM-5 criteria are documented.
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 Excoriation of Skin, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Excoriation of Skin
Use these documentation templates to ensure complete and accurate documentation for Excoriation of Skin. These templates include all required elements for proper coding and billing.
Psychiatric Evaluation for Skin Picking
Specialty: PsychiatryRequired Elements
- Patient history
- DSM-5 criteria assessment
- Impact on daily life
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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