ICD-10 Coding for Skin Tags(L91.8, D23.9, K64.4)
Complete ICD-10-CM coding and documentation guide for Skin Tags. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Skin Tags
L91-L99Primary Range
Other disorders of skin and subcutaneous tissue
This range includes codes for hypertrophic and atrophic conditions of the skin, including skin tags.
Other benign neoplasms of skin
This range is used when skin tags are considered benign neoplasms.
Hemorrhoids and perianal venous thrombosis
This range includes codes for anal skin tags related to hemorrhoidal disease.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| L91.8 | Other hypertrophic disorders of the skin | Use for symptomatic skin tags causing irritation or bleeding. |
|
| D23.9 | Benign neoplasm of skin, unspecified | Use when skin tags are confirmed as benign neoplasms. |
|
| K64.4 | Residual hemorrhoidal skin tags | Use for anal skin tags related to hemorrhoidal disease. |
|
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 skin tags
Essential facts and insights about Skin Tags
Primary ICD-10-CM Codes for skin tags
Decision Criteria
clinical Criteria
- Presence of irritation or bleeding from skin tags.
documentation Criteria
- Documented symptoms and location of skin tags.
Clinical Validation Requirements
- Multiple pedunculated lesions in intertriginous areas causing friction
Code-Specific Risks
- Incorrectly coding benign neoplasms as L91.8.
Coding Notes
- Ensure documentation supports symptomatic nature for L91.8.
D23.9 - Benign neoplasm of skin, unspecified
Use when skin tags are confirmed as benign neoplasms.
Applicable To
- Benign skin neoplasms
Excludes
- Symptomatic skin tags (L91.8)
Clinical Validation Requirements
- Pathology report confirming fibroepithelial polyp
Coding Notes
Ensure pathology confirms neoplasm status.
K64.4 - Residual hemorrhoidal skin tags
Use for anal skin tags related to hemorrhoidal disease.
Applicable To
- Anal skin tags post-hemorrhoids
Excludes
- Symptomatic skin tags (L91.8)
Clinical Validation Requirements
- Documentation of prior hemorrhoidal treatment
Coding Notes
Ensure hemorrhoidal history is documented.
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 Skin Tags to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L91.8.
Impact
Clinical: Inadequate documentation for clinical follow-up., Regulatory: Potential for audit issues., Financial: Denial of claims due to insufficient documentation.
Mitigation Strategy
Always count and document the number of lesions., Use templates to ensure all details are captured.
Impact
Reimbursement: Incorrect reimbursement for procedure., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on skin tag procedures.
Mitigation Strategy
Use 11200 for removal of skin tags.
Impact
Claims may be denied if documentation does not support medical necessity.
Mitigation Strategy
Ensure documentation includes symptoms and impact on daily activities.
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 Skin Tags, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Skin Tags
Use these documentation templates to ensure complete and accurate documentation for Skin Tags. These templates include all required elements for proper coding and billing.
Removal of multiple skin tags
Specialty: DermatologyRequired Elements
- Location of skin tags
- Number of lesions
- Size of lesions
- Symptoms reported
- Method of removal
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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