ICD-10 Coding for Scabies(B86, L29.8)
Complete ICD-10-CM coding and documentation guide for Scabies. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Scabies
B85-B89Primary Range
Pediculosis and other infestations
This range includes scabies and related parasitic infestations.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| B86 | Scabies | Use for active scabies infestation confirmed by clinical or laboratory methods. |
|
| L29.8 | Other pruritus | Use for itching after scabies treatment when no active infestation is present. |
|
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 scabies
Essential facts and insights about Scabies
Primary ICD-10-CM Codes for scabies
Decision Criteria
clinical Criteria
- Presence of burrows and positive microscopy
documentation Criteria
- Detailed history of contact and symptoms
Applicable To
- Infestation by Sarcoptes scabiei
Excludes
- Postscabetic pruritus (L29.8)
Clinical Validation Requirements
- Microscopy visualization of mites
- Dermoscopy showing burrows
- PCR confirmation of Sarcoptes scabiei
Code-Specific Risks
- Using for resolved cases without active infestation
Coding Notes
- Ensure documentation specifies active infestation with clinical or lab confirmation.
L29.8 - Other pruritus
Use for itching after scabies treatment when no active infestation is present.
Applicable To
- Postscabetic pruritus
Excludes
- Active scabies (B86)
Clinical Validation Requirements
- Persistent itching post-treatment
- No live mites observed
Coding Notes
Document absence of active infestation and history of previous scabies.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for screening for other infectious and parasitic diseases
Z11.8Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Scabies to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B86.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials or audits.
Mitigation Strategy
Use specific terms like 'burrows' and 'mite visualization'.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on scabies prevalence.
Mitigation Strategy
Use L29.8 for postscabetic pruritus instead.
Impact
Using B86 for cases without active infestation.
Mitigation Strategy
Train staff on proper use of L29.8 for post-treatment itching.
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 Scabies, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Scabies
Use these documentation templates to ensure complete and accurate documentation for Scabies. These templates include all required elements for proper coding and billing.
Follow-up visit for scabies treatment
Specialty: DermatologyRequired Elements
- Patient history of scabies treatment
- Current symptoms and findings
- Diagnostic methods used
- Treatment response
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Scabies? Ask your questions below.