ICD-10 Coding for Rosacea(L71.0, L71.1, L71.8, L71.9, H10.829)
Complete ICD-10-CM coding and documentation guide for Rosacea. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Rosacea
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| L71.0 | Perioral dermatitis | Use when perioral papules and erythema are present without lip involvement. |
|
| L71.1 | Rhinophyma | Use when nasal hypertrophy and phymatous changes are documented. |
|
| L71.8 | Other rosacea | Use for recognized variants like granulomatous or steroid-induced rosacea. |
|
| L71.9 | Unspecified rosacea | Use when specific subtype cannot be determined. |
|
| H10.829 | Rosacea conjunctivitis | Use when ocular symptoms are present with facial rosacea. |
|
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 rosacea
Essential facts and insights about Rosacea
Primary ICD-10-CM Codes for rosacea
Decision Criteria
clinical Criteria
- Presence of perioral papules and erythema
Applicable To
- Perioral papulopustular rash
Excludes
- Acne vulgaris
Clinical Validation Requirements
- Perioral erythema with papules, sparing lips
Code-Specific Risks
- Confusion with acne vulgaris
Coding Notes
- Ensure documentation specifies perioral distribution.
L71.1 - Rhinophyma
Use when nasal hypertrophy and phymatous changes are documented.
Applicable To
- Nodular hypertrophy of nasal skin
Clinical Validation Requirements
- Nasal bulbous deformity with telangiectasia
Coding Notes
Document specific nasal changes to support coding.
L71.8 - Other rosacea
Use for recognized variants like granulomatous or steroid-induced rosacea.
Applicable To
- Granulomatous rosacea
- Steroid-induced rosacea
Clinical Validation Requirements
- Granulomatous papules on cheeks, biopsy-confirmed
Coding Notes
Ensure variant is specified in documentation.
L71.9 - Unspecified rosacea
Use when specific subtype cannot be determined.
Clinical Validation Requirements
- Persistent centrofacial erythema with papulopustules
Coding Notes
Document rationale for unspecified use.
H10.829 - Rosacea conjunctivitis
Use when ocular symptoms are present with facial rosacea.
Applicable To
- Ocular rosacea
Clinical Validation Requirements
- Ocular erythema, burning, or foreign body sensation
Coding Notes
Ensure ocular symptoms are documented and linked to rosacea.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Excision/destruction of nasal lesion
30118Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Acne vulgaris
L70.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Rosacea to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L71.0.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Educate staff on subtype identification., Use decision trees for code selection.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use L71.8 for granulomatous rosacea.
Impact
Reimbursement: Claims may be rejected for improper sequencing., Compliance: Violates coding sequencing rules., Data Quality: Inaccurate representation of condition severity.
Mitigation Strategy
Always code L71.- first before H10.829.
Impact
Frequent use of unspecified codes without justification.
Mitigation Strategy
Implement documentation audits and training.
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 Rosacea, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Rosacea
Use these documentation templates to ensure complete and accurate documentation for Rosacea. These templates include all required elements for proper coding and billing.
Rosacea with ocular involvement
Specialty: DermatologyRequired Elements
- Facial erythema and papules
- Ocular symptoms
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Rosacea? Ask your questions below.