ICD-10 Coding for Impetigo(L01.00, L01.01, L01.03)
Complete ICD-10-CM coding and documentation guide for Impetigo. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Impetigo
L01.00-L01.09Primary Range
Impetigo
This range includes all specific types of impetigo, including bullous and non-bullous forms.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| L01.00 | Impetigo, unspecified | Use when the type of impetigo is not specified in the documentation. |
|
| L01.01 | Non-bullous impetigo | Use when documentation specifies non-bullous impetigo. |
|
| L01.03 | Bullous impetigo | Use when documentation specifies bullous impetigo. |
|
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
Essential facts and insights about Impetigo
Primary ICD-10-CM Codes for impetigo
Decision Criteria
documentation Criteria
- Lack of specific type or laterality in documentation
Clinical Validation Requirements
- General diagnosis of impetigo without further specification
Code-Specific Risks
- Increased risk of claim denial due to lack of specificity
Coding Notes
- Ensure documentation specifies type to avoid using this non-billable code.
L01.01 - Non-bullous impetigo
Use when documentation specifies non-bullous impetigo.
Applicable To
- Honey-colored crusts
Clinical Validation Requirements
- Presence of honey-colored crusts and erythema
Coding Notes
Document lesion count and location for accurate coding.
L01.03 - Bullous impetigo
Use when documentation specifies bullous impetigo.
Applicable To
- Fluid-filled blisters
Clinical Validation Requirements
- Presence of large flaccid bullae with clear fluid
Coding Notes
Document lesion count and location for accurate coding.
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
B95.61Methicillin resistant Staphylococcus aureus (MRSA) as the cause of diseases classified elsewhere
B95.62Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Impetigo to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L01.00.
Impact
Clinical: Inaccurate diagnosis and treatment, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Use templates to ensure all necessary details are documented, Educate providers on documentation requirements
Impact
Reimbursement: Potential claim denials due to unspecified coding, Compliance: Non-compliance with coding specificity requirements, Data Quality: Decreased accuracy in clinical data reporting
Mitigation Strategy
Ensure specific type (bullous or non-bullous) is documented and coded accordingly.
Impact
Increased scrutiny on claims using unspecified codes
Mitigation Strategy
Ensure documentation supports the most specific code possible.
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, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Impetigo
Use these documentation templates to ensure complete and accurate documentation for Impetigo. These templates include all required elements for proper coding and billing.
Pediatric primary care visit for impetigo
Specialty: PediatricsRequired Elements
- Lesion type and count
- Location and laterality
- Presence of systemic symptoms
- Exposure history
- Lab confirmation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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