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ICD-10 Coding for Solitary Eruptive Xanthogranuloma(D76.3)

Complete ICD-10-CM coding and documentation guide for Solitary Eruptive Xanthogranuloma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Juvenile XanthogranulomaJXG

Related ICD-10 Code Ranges

Complete code families applicable to Solitary Eruptive Xanthogranuloma

D76-D76.9Primary Range

Other histiocytosis syndromes

This range includes codes for various histiocytosis syndromes, including xanthogranuloma.

Other disorders of pigmentation

Used for pigmentation disorders that may accompany xanthogranuloma.

Key Information: ICD-10 code for solitary eruptive xanthogranuloma

Essential facts and insights about Solitary Eruptive Xanthogranuloma

The ICD-10 code for solitary eruptive xanthogranuloma is D76.3.

Primary ICD-10-CM Code for unprotected solitary eruptive xanthogranuloma

Other histiocytosis syndromes
Billable Code

Decision Criteria

clinical Criteria

  • Presence of Touton giant cells and CD68 positivity

coding Criteria

  • Exclude Langerhans cell histiocytosis based on immunohistochemistry

Applicable To

  • Solitary Eruptive Xanthogranuloma

Excludes

  • Langerhans cell histiocytosis

Clinical Validation Requirements

  • Histopathology showing Touton giant cells
  • Immunohistochemistry positive for CD68 and factor XIIIa

Code-Specific Risks

  • Confusion with Langerhans cell histiocytosis

Coding Notes

  • Ensure histopathological confirmation before coding.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Other specified disorders of pigmentation

L81.8
Use for lesions with hyperpigmentation.

Localized swelling, mass, or lump, unspecified

R22.9
Use if presenting with palpable nodules.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Unifocal Langerhans cell histiocytosis

C96.6
Langerhans cell histiocytosis is S100 and CD1a positive.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Solitary Eruptive Xanthogranuloma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D76.3.

Impact

Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.

Mitigation Strategy

Include biopsy results in documentation.

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data reporting.

Mitigation Strategy

Verify immunohistochemical markers to differentiate.

Impact

Lack of detailed histopathological findings.

Mitigation Strategy

Require biopsy confirmation before coding.

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 Solitary Eruptive Xanthogranuloma, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Solitary Eruptive Xanthogranuloma

Use these documentation templates to ensure complete and accurate documentation for Solitary Eruptive Xanthogranuloma. These templates include all required elements for proper coding and billing.

Dermatology evaluation of xanthogranuloma

Specialty: Dermatology

Required Elements

  • Lesion size and location
  • Histopathological findings
  • Immunohistochemical results

Example Documentation

Patient presents with a 2 cm yellow-brown nodule on the right cheek. Biopsy confirms presence of Touton giant cells and CD68 positivity.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Skin lesion on face.
Good Documentation Example
2 cm yellow-brown nodule on right cheek; biopsy shows Touton giant cells, CD68+.
Explanation
The good example provides specific details necessary for accurate coding.

Need help with ICD-10 coding for Solitary Eruptive Xanthogranuloma? Ask your questions below.

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