ICD-10 Coding for Keloid Scar(L91.0)
Complete ICD-10-CM coding and documentation guide for Keloid Scar. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Keloid Scar
Key Information: ICD-10 code for keloid scar
Essential facts and insights about Keloid Scar
Primary ICD-10-CM Code for keloid scar
Decision Criteria
clinical Criteria
- Presence of excessive collagen growth extending beyond the original wound
coding Criteria
- Sequence burn or injury code first if keloid is a sequela
documentation Criteria
- Include measurements and functional impact in documentation
Applicable To
- Keloid
Excludes
- Acne keloidalis (L73.0)
Clinical Validation Requirements
- Documented excessive collagen growth
- Histopathological confirmation of keloidal collagen
Code-Specific Risks
- Misidentifying hypertrophic scars as keloids
- Incorrect sequencing with sequela codes
Coding Notes
- Ensure to document the size, location, and symptoms of the keloid for accurate coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Burn of chest wall, sequela
T21.31XSDifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Acne keloidalis
L73.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Keloid Scar to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L91.0.
Impact
Clinical: Inadequate treatment planning., Regulatory: Potential for audit issues., Financial: Risk of claim denial.
Mitigation Strategy
Include detailed descriptions, Use standardized templates
Impact
Reimbursement: Incorrect sequencing can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always code the injury or burn sequela first, followed by L91.0.
Impact
Failure to document functional impairment can lead to denials.
Mitigation Strategy
Ensure all documentation includes specific functional limitations.
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 Keloid Scar, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Keloid Scar
Use these documentation templates to ensure complete and accurate documentation for Keloid Scar. These templates include all required elements for proper coding and billing.
Keloid after ear piercing
Specialty: DermatologyRequired Elements
- Location
- Size
- Symptoms
- Functional Impact
- History
- Treatment Plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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