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ICD-10 Coding for Granuloma Annulare(L92.0)

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

Also known as:

GAAnnular Granuloma

Related ICD-10 Code Ranges

Complete code families applicable to Granuloma Annulare

L92-L99Primary Range

Other disorders of skin and subcutaneous tissue

This range includes granuloma annulare and related skin conditions.

Key Information: ICD-10 code for granuloma annulare

Essential facts and insights about Granuloma Annulare

The ICD-10 code for granuloma annulare is L92.0, covering both localized and generalized forms.

Primary ICD-10-CM Code for granuloma annulare

Granuloma annulare
Billable Code

Decision Criteria

clinical Criteria

  • Presence of annular plaques with central clearing.

documentation Criteria

  • Biopsy confirmation of granulomatous inflammation with mucin.

Applicable To

  • Localized granuloma annulare
  • Generalized granuloma annulare
  • Subcutaneous granuloma annulare
  • Perforating granuloma annulare

Excludes

  • Necrobiosis lipoidica (L92.1)
  • Granuloma faciale (L92.2)
  • Actinic granuloma (L57.5)

Clinical Validation Requirements

  • Histopathology showing palisading granulomas with mucin
  • Clinical presentation of annular plaques with central clearing

Code-Specific Risks

  • Misclassification with similar conditions like necrobiosis lipoidica.

Coding Notes

  • Ensure documentation specifies the type and location of granuloma annulare.

Ancillary Codes

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

Punch biopsy of skin

11104
Use when a biopsy is performed to confirm diagnosis.

Destruction of benign lesions

17110
Use for treatment involving lesion destruction.

Differential Codes

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

Necrobiosis lipoidica

L92.1
Presence of yellow-brown plaques with telangiectasia, typically on pretibial areas.

Granuloma faciale

L92.2
Brown-red facial nodules, distinct from annular plaques.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Granuloma Annulare to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L92.0.

Impact

Clinical: Misrepresentation of the patient's condition., Regulatory: Potential for audit issues., Financial: Denial of claims due to incorrect coding.

Mitigation Strategy

Verify clinical findings before coding., Consult pathology reports.

Impact

Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Document the specific type (localized, generalized, etc.) to ensure accurate coding.

Impact

Inadequate documentation of granuloma annulare type and location.

Mitigation Strategy

Implement thorough documentation practices and regular audits.

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 Granuloma Annulare, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Granuloma Annulare

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

Localized granuloma annulare diagnosis

Specialty: Dermatology

Required Elements

  • Lesion description
  • Biopsy results
  • Treatment plan

Example Documentation

Patient presents with annular plaques on hands. Biopsy confirms granuloma annulare. Plan for intralesional steroid injections.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has a rash on arms.
Good Documentation Example
Multiple annular plaques with raised erythematous borders on dorsal hands. Biopsy confirms granulomatous inflammation with mucin.
Explanation
The good example provides specific lesion details and biopsy confirmation.

Need help with ICD-10 coding for Granuloma Annulare? Ask your questions below.

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