ICD-10 Coding for Pyogenic Granuloma(L98.0, K13.4)
Complete ICD-10-CM coding and documentation guide for Pyogenic Granuloma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Pyogenic Granuloma
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| L98.0 | Pyogenic granuloma of skin and subcutaneous tissue | Use for pyogenic granulomas located on the skin or subcutaneous tissue, excluding oral locations. |
|
| K13.4 | Granuloma of oral mucosa | Use for pyogenic granulomas located in the oral cavity. |
|
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 pyogenic granuloma
Essential facts and insights about Pyogenic Granuloma
Primary ICD-10-CM Codes for pyogenic granuloma
Decision Criteria
clinical Criteria
- Lesion located on skin or subcutaneous tissue
Applicable To
- Pyogenic granuloma of skin
- Lobular capillary hemangioma
Excludes
- Oral mucosa lesions (K13.4)
Clinical Validation Requirements
- Histopathology confirming lobular capillary hemangioma
- Documentation of lesion size and location
Code-Specific Risks
- Incorrectly coding oral lesions as L98.0
Coding Notes
- Ensure lesion location is documented to avoid incorrect coding.
K13.4 - Granuloma of oral mucosa
Use for pyogenic granulomas located in the oral cavity.
Applicable To
- Pyogenic granuloma of oral mucosa
Excludes
- Skin lesions (L98.0)
Clinical Validation Requirements
- Histopathology confirming lobular capillary hemangioma
- Documentation of lesion size and location
Coding Notes
Ensure oral location is documented to avoid incorrect 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 Pyogenic Granuloma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L98.0.
Impact
Clinical: May lead to incorrect treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials or reduced reimbursement.
Mitigation Strategy
Train staff on the importance of detailed documentation., Use templates to ensure all required information is captured.
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: May result in non-compliance with coding standards., Data Quality: Affects the accuracy of medical records.
Mitigation Strategy
Verify and document the exact location of the lesion before coding.
Impact
Inadequate documentation of lesion size can lead to coding errors.
Mitigation Strategy
Implement standardized measurement protocols.
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 Pyogenic Granuloma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Pyogenic Granuloma
Use these documentation templates to ensure complete and accurate documentation for Pyogenic Granuloma. These templates include all required elements for proper coding and billing.
Excision of pyogenic granuloma on skin
Specialty: DermatologyRequired Elements
- Location of lesion
- Size of lesion and excised diameter
- Procedure details
- Pathology results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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