ICD-10 Coding for Lichen Simplex Chronicus(L28.0)
Complete ICD-10-CM coding and documentation guide for Lichen Simplex Chronicus. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Lichen Simplex Chronicus
Key Information: ICD-10 code for lichen simplex chronicus
Essential facts and insights about Lichen Simplex Chronicus
Primary ICD-10-CM Code for lichen simplex chronicus
Decision Criteria
clinical Criteria
- Presence of lichenified plaques with chronic itching
coding Criteria
- Biopsy confirmation of LSC
documentation Criteria
- Detailed description of lesion and exclusion of differentials
Applicable To
- Neurodermatitis
Excludes
- Lichen planus (L43.9)
Clinical Validation Requirements
- Biopsy showing hyperkeratosis, acanthosis, and dermal fibrosis
- Exclusion of fungal infection via KOH prep
Code-Specific Risks
- Confusion with psoriasis or other dermatitis without proper biopsy confirmation
Coding Notes
- Ensure biopsy confirmation for accurate coding and rule out differential diagnoses.
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 Lichen Simplex Chronicus to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L28.0.
Impact
Clinical: Misdiagnosis risk, Regulatory: Non-compliance with coding standards, Financial: Potential reimbursement issues
Mitigation Strategy
Use specific terminology, Include biopsy results
Impact
Reimbursement: Incorrect DRG assignment, Compliance: Potential audit issues, Data Quality: Inaccurate clinical data
Mitigation Strategy
Document specific features of lichen planus such as Wickham striae.
Impact
Lack of biopsy confirmation can lead to audit issues.
Mitigation Strategy
Ensure biopsy is performed and results are documented.
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 Simplex Chronicus, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Lichen Simplex Chronicus
Use these documentation templates to ensure complete and accurate documentation for Lichen Simplex Chronicus. These templates include all required elements for proper coding and billing.
Dermatology evaluation for chronic itching
Specialty: DermatologyRequired Elements
- Location and size of lesion
- Morphology and symptoms
- Biopsy and test results
- Differentials excluded
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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