ICD-10 Coding for Impetigo Contagiosa(L01.01, L01.03)
Complete ICD-10-CM coding and documentation guide for Impetigo Contagiosa. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Impetigo Contagiosa
L01.0-L01.09Primary Range
Impetigo and related conditions
This range includes codes for different types of impetigo, which are essential for accurate diagnosis and treatment documentation.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| L01.01 | Non-bullous impetigo | Use when lesions are crusted without bullae. |
|
| L01.03 | Bullous impetigo | Use when lesions are bullous. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for impetigo contagiosa
Essential facts and insights about Impetigo Contagiosa
Primary ICD-10-CM Codes for impetigo contagiosa
Decision Criteria
clinical Criteria
- Presence of honey-colored crusts without bullae
Applicable To
- Honey-colored crusts
- Erythematous erosions
Excludes
- Impetigo herpetiformis (L40.1)
Clinical Validation Requirements
- Presence of honey-colored crusts
- Gram stain showing Gram-positive cocci
Code-Specific Risks
- Confusion with eczema if crusts are not documented
Coding Notes
- Ensure documentation specifies crusting to differentiate from bullous impetigo.
L01.03 - Bullous impetigo
Use when lesions are bullous.
Applicable To
- Fluid-filled bullae
Excludes
- Impetigo herpetiformis (L40.1)
Clinical Validation Requirements
- Presence of fluid-filled bullae
- Minimal crusting
Coding Notes
Document presence of bullae to avoid confusion with non-bullous impetigo.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Staphylococcus aureus as the cause of diseases classified elsewhere
B95.61Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Impetigo Contagiosa to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L01.01.
Impact
Clinical: Inaccurate representation of infection etiology., Regulatory: Non-compliance with coding guidelines., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Always check lab results for organism confirmation.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 specificity requirements., Data Quality: Inaccurate clinical data affecting patient care.
Mitigation Strategy
Ensure documentation specifies presence of bullae or crusts.
Impact
Failure to document lesion type can lead to incorrect coding.
Mitigation Strategy
Train staff to document lesion characteristics accurately.
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 Impetigo Contagiosa, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Impetigo Contagiosa
Use these documentation templates to ensure complete and accurate documentation for Impetigo Contagiosa. These templates include all required elements for proper coding and billing.
Pediatric presentation of impetigo
Specialty: PediatricsRequired Elements
- Lesion description
- Microbiology results
- Treatment plan
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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