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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:

CallusCornKeratoderma

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

The ICD-10 code for a hyperkeratotic lesion is L85.1, used for acquired keratosis palmaris et plantaris.

Primary ICD-10-CM Code for hyperkeratotic lesion

Acquired keratosis palmaris et plantaris
Billable Code

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

R20.2
Use when documenting numbness or tingling associated with the lesion.

Differential Codes

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

Actinic keratosis

L57.0
Occurs on sun-exposed areas, often asymptomatic.

Other specified congenital malformations of skin

Q82.8
Includes inherited keratosis with family history.

Documentation & 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: Podiatry

Required Elements

  • Lesion location and size
  • Symptoms and functional impact
  • Procedure details

Example Documentation

Patient presents with a 6mm painful callus on the plantar aspect of the left foot, causing difficulty in ambulation. Lesion pared with #15 blade, keratin core enucleated.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Callus removed from foot.
Good Documentation Example
5mm nucleated IPK with central keratin plug at 2nd met head, causing painful ambulation, enucleated with #15 blade.
Explanation
The good example provides specific lesion characteristics and procedure details, supporting accurate coding.

Need help with ICD-10 coding for Hyperkeratotic Lesion? Ask your questions below.

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