ICD-10 Coding for Excoriation Disorder(F42.4, L98.1)
Complete ICD-10-CM coding and documentation guide for Excoriation Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Excoriation Disorder
F40-F48Primary Range
Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders
This range includes excoriation disorder as a mental health condition characterized by compulsive skin picking.
Diseases of the skin and subcutaneous tissue
This range includes dermatological conditions that may result from or be associated with skin picking.
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 compulsive and causes significant distress or impairment. |
|
| L98.1 | Factitial dermatitis | Use when skin lesions are self-inflicted without a compulsive psychological component. |
|
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 Disorder
Primary ICD-10-CM Codes for excoriation
Decision Criteria
clinical Criteria
- Presence of compulsive skin picking behavior
documentation Criteria
- Documented distress or impairment due to skin picking
Applicable To
- Compulsive skin picking
Excludes
- Dermatitis artefacta (L98.1)
Clinical Validation Requirements
- Recurrent skin picking resulting in skin lesions
- Repeated attempts to decrease or stop skin picking
- Significant distress or impairment in social, occupational, or other areas of functioning
Code-Specific Risks
- Misclassification if psychological component is not documented
Coding Notes
- Ensure documentation supports the psychological aspect of the disorder.
L98.1 - Factitial dermatitis
Use when skin lesions are self-inflicted without a compulsive psychological component.
Applicable To
- Neurotic excoriation
Excludes
- Excoriation (skin-picking) disorder (F42.4)
Clinical Validation Requirements
- Self-inflicted skin lesions without compulsive behavior
Coding Notes
Differentiate between psychological and dermatological causes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Local infection of the skin and subcutaneous tissue, unspecified
L08.9Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Excoriation Disorder 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 of the condition, Regulatory: Non-compliance with coding standards, Financial: Incorrect billing and reimbursement
Mitigation Strategy
Ensure comprehensive documentation of psychological symptoms.
Impact
Reimbursement: Potential for incorrect reimbursement rates, Compliance: Non-compliance with ICD-10 coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Ensure documentation includes psychological components such as compulsive behavior and distress.
Impact
Auditors may target cases where psychological aspects are not documented.
Mitigation Strategy
Ensure thorough documentation of psychological symptoms and their impact.
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 Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Excoriation Disorder
Use these documentation templates to ensure complete and accurate documentation for Excoriation Disorder. These templates include all required elements for proper coding and billing.
Patient with compulsive skin picking and resulting lesions
Specialty: PsychiatryRequired Elements
- History of present illness detailing picking behavior
- Psychological evaluation results
- Impact on daily functioning
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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