ICD-10 Coding for Frontal Fibrosing Alopecia(L66.12)
Complete ICD-10-CM coding and documentation guide for Frontal Fibrosing Alopecia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Frontal Fibrosing Alopecia
L66.1-L66.9Primary Range
Cicatricial alopecia
This range includes codes for scarring alopecia, with L66.12 specifically for frontal fibrosing alopecia.
Key Information: ICD-10 code for frontal fibrosing alopecia
Essential facts and insights about Frontal Fibrosing Alopecia
Primary ICD-10-CM Code for frontal fibrosing alopecia
Decision Criteria
clinical Criteria
- Biopsy confirms lichenoid infiltrate and follicular destruction.
documentation Criteria
- Detailed description of hairline recession and trichoscopy findings.
Applicable To
- Band-like recession of the frontal hairline
- Eyebrow loss associated with FFA
Excludes
- Non-scarring alopecia
- Alopecia areata
Clinical Validation Requirements
- Biopsy showing perifollicular lymphocytic infiltrate and fibrosis
- Trichoscopy findings of absent follicular openings and perifollicular scaling
Code-Specific Risks
- Confusing with non-scarring alopecia codes
- Incorrectly coding as unspecified cicatricial alopecia
Coding Notes
- Ensure documentation specifies scarring and characteristic hairline recession.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Frontal Fibrosing Alopecia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L66.12.
Impact
Clinical: Misdiagnosis risk due to lack of detail., Regulatory: Potential non-compliance with coding standards., Financial: Claim denials due to insufficient documentation.
Mitigation Strategy
Use detailed descriptions of hair loss patterns., Include biopsy and trichoscopy results.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Ensure biopsy and trichoscopy findings confirm scarring alopecia.
Impact
Lack of detailed documentation of scarring features.
Mitigation Strategy
Ensure biopsy and trichoscopy findings are documented.
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 Frontal Fibrosing Alopecia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Frontal Fibrosing Alopecia
Use these documentation templates to ensure complete and accurate documentation for Frontal Fibrosing Alopecia. These templates include all required elements for proper coding and billing.
Diagnosis of FFA in dermatology clinic
Specialty: DermatologyRequired Elements
- History of hair loss
- Physical exam findings
- Trichoscopy results
- Biopsy confirmation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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