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ICD-10 Coding for Dyshidrotic Eczema(L30.1)

Complete ICD-10-CM coding and documentation guide for Dyshidrotic Eczema. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

PompholyxDyshidrosis

Related ICD-10 Code Ranges

Complete code families applicable to Dyshidrotic Eczema

L30-L30.9Primary Range

Other and unspecified dermatitis

This range includes specific codes for various types of dermatitis, including dyshidrotic eczema.

Key Information: ICD-10 code for dyshidrotic eczema

Essential facts and insights about Dyshidrotic Eczema

The ICD-10 code for dyshidrotic eczema is L30.1, which includes dyshidrosis and pompholyx.

Primary ICD-10-CM Code for dyshidrotic eczema

Dyshidrosis [pompholyx]
Billable Code

Decision Criteria

clinical Criteria

  • Presence of vesicles on palms or soles with negative KOH test

coding Criteria

  • Avoid using unspecified dermatitis codes when specific diagnosis is available

documentation Criteria

  • Document negative results for fungal and bacterial tests

Applicable To

  • Dyshidrotic eczema
  • Pompholyx

Excludes

Clinical Validation Requirements

  • Presence of pruritic, deep-seated vesicles on palms or soles
  • Negative KOH and bacterial cultures
  • Exclusion of contact dermatitis and fungal infections

Code-Specific Risks

  • Confusing with contact dermatitis or fungal infections
  • Using unspecified codes like L30.9

Coding Notes

  • Ensure documentation specifies the presence of vesicles and excludes other causes.

Ancillary Codes

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

Tinea pedis

B35.3
Use if a fungal infection coexists with dyshidrotic eczema.

Differential Codes

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

Allergic contact dermatitis due to metals

L23.8
Use if eczema is directly triggered by metal allergens like nickel.

Tinea pedis

B35.3
Use if fungal infection is present and causative.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Dyshidrotic Eczema to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L30.1.

Impact

Clinical: May lead to misdiagnosis and inappropriate treatment, Regulatory: Non-compliance with documentation standards, Financial: Potential for claim denials due to insufficient documentation

Mitigation Strategy

Ensure comprehensive clinical evaluation, Document all negative test results

Impact

Reimbursement: May lead to reduced reimbursement due to lack of specificity, Compliance: Non-compliance with coding guidelines for specificity, Data Quality: Decreases accuracy of clinical data

Mitigation Strategy

Document specific features of dyshidrotic eczema to justify L30.1

Impact

Using unspecified codes when specific codes are applicable

Mitigation Strategy

Educate providers on the importance of specific documentation and 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 Dyshidrotic Eczema, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Dyshidrotic Eczema

Use these documentation templates to ensure complete and accurate documentation for Dyshidrotic Eczema. These templates include all required elements for proper coding and billing.

Dermatology evaluation of dyshidrotic eczema

Specialty: Dermatology

Required Elements

  • Location of vesicles
  • Morphology description
  • Negative test results
  • Treatment plan

Example Documentation

PE: Crops of 1-2mm vesicles on bilateral palms. KOH, bacterial culture negative. Dx: Dyshidrotic eczema. Plan: Clobetasol 0.05% BID.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Rash on hands, treat with steroid.
Good Documentation Example
Recurrent 2mm vesicles on palms, KOH negative. Dx: L30.1. Rx: Clobetasol 0.05% BID x 14 days.
Explanation
The good example provides specific details about the vesicles and test results, supporting the diagnosis.

Need help with ICD-10 coding for Dyshidrotic Eczema? Ask your questions below.

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