ICD-10 Coding for Lichen Sclerosus et Atrophicus(L90.0, N90.4, N48.0)
Complete ICD-10-CM coding and documentation guide for Lichen Sclerosus et Atrophicus. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Lichen Sclerosus et Atrophicus
L90-L99Primary Range
Other disorders of skin and subcutaneous tissue
This range includes Lichen Sclerosus et Atrophicus as a skin disorder.
Noninflammatory disorders of female genital tract
Includes genital involvement of Lichen Sclerosus in females.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| L90.0 | Lichen sclerosus et atrophicus | Use for non-genital LSEA cases. |
|
| N90.4 | Leukoplakia of vulva | Use for confirmed vulvar LSEA cases. |
|
| N48.0 | Balanitis xerotica obliterans | Use for confirmed penile LSEA cases. |
|
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 Lichen Sclerosus et Atrophicus
Essential facts and insights about Lichen Sclerosus et Atrophicus
Primary ICD-10-CM Codes for lichen sclerosus embryo transfer atrophicus
Decision Criteria
clinical Criteria
- Presence of white sclerotic plaques on non-genital skin.
coding Criteria
- Avoid using for genital cases.
N90.4 - Leukoplakia of vulva
Use for confirmed vulvar LSEA cases.
Applicable To
- Vulvar LSEA
Excludes
- Non-genital LSEA (L90.0)
Clinical Validation Requirements
- Porcelain-white plaques with architectural changes on vulva
Coding Notes
Biopsy confirmation is critical for compliance.
N48.0 - Balanitis xerotica obliterans
Use for confirmed penile LSEA cases.
Applicable To
- Penile LSEA
Excludes
- Non-genital LSEA (L90.0)
Clinical Validation Requirements
- Sclerotic plaques on glans/prepuce
Coding Notes
Ensure genital involvement is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pruritus, unspecified
L29.9Differential 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 Lichen Sclerosus et Atrophicus to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L90.0.
Impact
Clinical: May lead to misdiagnosis or incorrect treatment., Regulatory: Non-compliance with ICD-10 documentation standards., Financial: Potential for denied claims or audits.
Mitigation Strategy
Ensure biopsy results are documented before coding., Use templates to guide documentation.
Impact
Reimbursement: Incorrect DRG assignment affects reimbursement., Compliance: Violates ICD-10 Excludes2 rules., Data Quality: Leads to inaccurate clinical data.
Mitigation Strategy
Use N90.4 for vulvar and N48.0 for penile involvement.
Impact
Risk of incorrect code assignment due to site misclassification.
Mitigation Strategy
Implement mandatory biopsy documentation for genital cases.
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 Lichen Sclerosus et Atrophicus, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Lichen Sclerosus et Atrophicus
Use these documentation templates to ensure complete and accurate documentation for Lichen Sclerosus et Atrophicus. These templates include all required elements for proper coding and billing.
Non-genital LSEA diagnosis
Specialty: DermatologyRequired Elements
- Site of lesion
- Biopsy results
- Differential diagnoses ruled out
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Lichen Sclerosus et Atrophicus? Ask your questions below.