ICD-10 Coding for Hidradenitis Suppurativa(L73.2)
Complete ICD-10-CM coding and documentation guide for Hidradenitis Suppurativa. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hidradenitis Suppurativa
L70-L75Primary Range
Diseases of the skin and subcutaneous tissue
This range includes conditions related to skin and subcutaneous tissue, with L73.2 specifically for hidradenitis suppurativa.
Key Information: ICD-10 code for hidradenitis suppurativa
Essential facts and insights about Hidradenitis Suppurativa
Primary ICD-10-CM Code for hidradenitis suppurativa
Decision Criteria
clinical Criteria
- Presence of recurrent nodules and sinus tracts
documentation Criteria
- Hurley stage must be documented
Applicable To
- Chronic skin condition characterized by inflamed nodules and abscesses
Clinical Validation Requirements
- Recurrent nodules or abscesses
- Presence of sinus tracts or scarring
- Hurley staging documentation
Code-Specific Risks
- Incorrectly coding without chronicity documentation
- Omitting Hurley stage
Coding Notes
- Ensure documentation includes specific lesion characteristics and locations.
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 Hidradenitis Suppurativa to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L73.2.
Impact
Clinical: Misrepresentation of patient's condition, Regulatory: Potential audit risk, Financial: Denied claims due to incorrect coding
Mitigation Strategy
Verify recurrence and chronicity before coding, Consult clinical guidelines for HS
Impact
Reimbursement: May lead to denied claims if chronicity is not documented., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of patient condition.
Mitigation Strategy
Ensure documentation specifies recurrence and sinus tracts.
Impact
Claims may be denied if chronicity is not documented.
Mitigation Strategy
Ensure all documentation includes recurrence and sinus tract details.
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 Hidradenitis Suppurativa, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hidradenitis Suppurativa
Use these documentation templates to ensure complete and accurate documentation for Hidradenitis Suppurativa. These templates include all required elements for proper coding and billing.
Chronic HS with secondary infection
Specialty: DermatologyRequired Elements
- Lesion count and size
- Location and Hurley stage
- Infection presence and culture results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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