ICD-10 Coding for Grover's Disease(L11.1)
Complete ICD-10-CM coding and documentation guide for Grover's Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Grover's Disease
L00-L99Primary Range
Diseases of the skin and subcutaneous tissue
Grover's disease is classified under skin disorders, specifically under acantholytic dermatoses.
Key Information: ICD-10 code for Grover's disease
Essential facts and insights about Grover's Disease
Primary ICD-10-CM Code for grover's disease
Decision Criteria
clinical Criteria
- Biopsy shows acantholysis and dyskeratosis.
Applicable To
- Grover's disease
Excludes
- Darier's disease (Q82.8)
Clinical Validation Requirements
- Biopsy confirmation showing acantholysis, dyskeratosis, and parakeratosis
Code-Specific Risks
- Incorrectly using L11.1 without biopsy confirmation
Coding Notes
- Ensure biopsy confirmation before coding.
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.
Other specified congenital malformations of skin
Q82.8Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Grover's Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L11.1.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Document specific characteristics of the rash., Include biopsy results.
Impact
Reimbursement: May lead to denied claims if not substantiated by biopsy., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure biopsy results confirm Grover's disease before coding.
Impact
Lack of biopsy confirmation can lead to audit issues.
Mitigation Strategy
Ensure all cases of Grover's disease have biopsy confirmation 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 Grover's Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Grover's Disease
Use these documentation templates to ensure complete and accurate documentation for Grover's Disease. These templates include all required elements for proper coding and billing.
Initial Diagnosis of Grover's Disease
Specialty: DermatologyRequired Elements
- Patient history
- Physical examination findings
- Biopsy results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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