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ICD-10 Coding for Hyperkeratosis Lenticularis Perstans(L85.8)

Complete ICD-10-CM coding and documentation guide for Hyperkeratosis Lenticularis Perstans. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Flegel's Disease

Related ICD-10 Code Ranges

Complete code families applicable to Hyperkeratosis Lenticularis Perstans

L85-L89Primary Range

Other disorders of skin and subcutaneous tissue

This range includes conditions characterized by abnormal skin thickening, including hyperkeratosis lenticularis perstans.

Other disorders of skin and subcutaneous tissue, not elsewhere classified

This range includes miscellaneous skin disorders that do not fit into other specific categories.

Key Information: ICD-10 code for hyperkeratosis lenticularis perstans

Essential facts and insights about Hyperkeratosis Lenticularis Perstans

The ICD-10 code for hyperkeratosis lenticularis perstans is L85.8, used for other specified epidermal thickening.

Primary ICD-10-CM Code for hyperkeratosis lenticularis perstans

Other specified epidermal thickening
Billable Code

Decision Criteria

clinical Criteria

  • Presence of characteristic papules and histological findings

documentation Criteria

  • Detailed description of papules and biopsy results

Applicable To

  • Hyperkeratosis lenticularis perstans

Excludes

  • Stucco keratosis
  • Porokeratosis

Clinical Validation Requirements

  • Presence of hyperkeratotic papules on lower extremities
  • Histopathology showing hyperkeratosis and parakeratosis

Code-Specific Risks

  • Misclassification with other keratoses
  • Inadequate documentation of histological findings

Coding Notes

  • Ensure histological confirmation is documented to support the use of L85.8.

Ancillary Codes

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

Other specified disorders of the skin and subcutaneous tissue

L98.8
Use for atypical presentations or when histological confirmation is pending.

Differential Codes

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

Acquired keratosis [keratoderma] palmaris et plantaris

L85.1
Use for keratosis affecting palms and soles, not for hyperkeratosis lenticularis perstans.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Hyperkeratosis Lenticularis Perstans to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L85.8.

Impact

Clinical: May lead to misdiagnosis or inappropriate treatment, Regulatory: Non-compliance with coding guidelines, Financial: Potential for denied claims due to insufficient documentation

Mitigation Strategy

Ensure biopsy results are included in the patient's record, Use templates to guide comprehensive documentation

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Misclassification can result in compliance issues., Data Quality: Inaccurate data entry affects clinical records and research.

Mitigation Strategy

Ensure documentation specifies the unique clinical and histological features of HLP.

Impact

Lack of biopsy documentation can lead to audit findings.

Mitigation Strategy

Ensure all biopsy results are documented in the patient's medical record.

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 Hyperkeratosis Lenticularis Perstans, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Hyperkeratosis Lenticularis Perstans

Use these documentation templates to ensure complete and accurate documentation for Hyperkeratosis Lenticularis Perstans. These templates include all required elements for proper coding and billing.

Dermatology evaluation for hyperkeratosis lenticularis perstans

Specialty: Dermatology

Required Elements

  • Patient history of skin lesions
  • Physical examination findings
  • Biopsy results

Example Documentation

Patient presents with multiple hyperkeratotic papules on dorsal feet. Biopsy confirms focal compact hyperkeratosis with parakeratosis.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has skin lesions on legs.
Good Documentation Example
Patient presents with 2-4 mm hyperkeratotic papules on dorsal feet, biopsy confirms focal parakeratosis.
Explanation
The good example provides specific details about the lesions and biopsy results, supporting accurate coding.

Need help with ICD-10 coding for Hyperkeratosis Lenticularis Perstans? Ask your questions below.

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