ICD-10 Coding for Keratosis Pilaris(L87.0)
Complete ICD-10-CM coding and documentation guide for Keratosis Pilaris. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Keratosis Pilaris
L87-L87.9Primary Range
Other specified disorders of the skin and subcutaneous tissue
This range includes codes for various skin conditions, including follicular keratosis, which is often used for coding keratosis pilaris.
Key Information: ICD-10 code for keratosis pilaris
Essential facts and insights about Keratosis Pilaris
Primary ICD-10-CM Code for keratosis pilaris
Decision Criteria
clinical Criteria
- Presence of rough, follicular papules on extensor surfaces
documentation Criteria
- Detailed description of lesion morphology and family history
Clinical Validation Requirements
- Presence of follicular hyperkeratosis on extensor surfaces
- Family history of similar skin findings
- Biopsy showing hyperkeratotic plugging of follicular ostia
Code-Specific Risks
- Confusion with other types of keratosis such as actinic or seborrheic
Coding Notes
- Ensure documentation specifies the location and morphology of the lesions to support coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Keratosis Pilaris to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L87.0.
Impact
Clinical: May lead to misdiagnosis or incomplete understanding of condition etiology., Regulatory: Could result in non-compliance with documentation standards., Financial: Potential for denied claims if genetic predisposition impacts treatment.
Mitigation Strategy
Always inquire about and document family history during patient evaluation.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Misclassification affects compliance with coding standards., Data Quality: Impacts the accuracy of clinical data and patient records.
Mitigation Strategy
Ensure documentation specifies the non-sun-exposed location typical of keratosis pilaris.
Impact
Inaccurate documentation of lesion characteristics can lead to coding errors.
Mitigation Strategy
Implement regular training on documentation standards for dermatological conditions.
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 Keratosis Pilaris, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Keratosis Pilaris
Use these documentation templates to ensure complete and accurate documentation for Keratosis Pilaris. These templates include all required elements for proper coding and billing.
Routine dermatology visit for keratosis pilaris
Specialty: DermatologyRequired Elements
- Location of lesions
- Morphology and size
- Family history
- Associated symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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