ICD-10 Coding for Hyperkeratotic Lesion(L85.1)
Complete ICD-10-CM coding and documentation guide for Hyperkeratotic Lesion. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hyperkeratotic Lesion
L85-L87Primary Range
Other disorders of skin and subcutaneous tissue
This range includes conditions related to hyperkeratosis, including acquired keratosis palmaris et plantaris.
Key Information: ICD-10 code for hyperkeratotic lesion
Essential facts and insights about Hyperkeratotic Lesion
Primary ICD-10-CM Code for hyperkeratotic lesion
Decision Criteria
clinical Criteria
- Presence of painful, keratotic lesion on palms or soles.
documentation Criteria
- Documented functional limitation due to lesion.
Applicable To
- Painful callus
- Keratotic core
Excludes
- Inherited keratosis (Q82.8)
Clinical Validation Requirements
- Histology showing orthokeratotic papillomatosis
- Photographic measurement of lesion >5mm
Code-Specific Risks
- Incorrectly coding inherited conditions as acquired
- Missing documentation of pain or functional impact
Coding Notes
- Ensure documentation includes lesion characteristics and symptoms to support L85.1.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Paresthesia of skin
R20.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hyperkeratotic Lesion to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L85.1.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Use templates to ensure all required elements are documented., Train staff on documentation standards.
Impact
Reimbursement: Incorrect CPT code may lead to claim denial., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate procedure data in patient records.
Mitigation Strategy
Ensure documentation specifies paring with enucleation of keratin core.
Impact
Incorrect use of modifiers can lead to claim denials.
Mitigation Strategy
Ensure documentation supports the use of each modifier.
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 Hyperkeratotic Lesion, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hyperkeratotic Lesion
Use these documentation templates to ensure complete and accurate documentation for Hyperkeratotic Lesion. These templates include all required elements for proper coding and billing.
Podiatry Clinic Visit
Specialty: PodiatryRequired Elements
- Lesion location and size
- Symptoms and functional impact
- Procedure details
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Hyperkeratotic Lesion? Ask your questions below.