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ICD-10 Coding for Perioral Dermatitis(L71.0)

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

Also known as:

Periorificial DermatitisFacial Dermatitis

Related ICD-10 Code Ranges

Complete code families applicable to Perioral Dermatitis

L71-L71.9Primary Range

Rosacea and related conditions

Includes perioral dermatitis, which is coded under L71.0.

Contact dermatitis, unspecified cause

Used for irritant contact dermatitis due to drugs, relevant for steroid-induced cases.

Key Information: ICD-10 code for perioral dermatitis

Essential facts and insights about Perioral Dermatitis

The ICD-10 code for perioral dermatitis is L71.0, used for papulopustular rashes around the mouth, nose, or eyes.

Primary ICD-10-CM Code for perioral dermatitis

Perioral dermatitis
Billable Code

Decision Criteria

clinical Criteria

  • Papules or pustules around the mouth without comedones.

documentation Criteria

  • Documented history of topical steroid use.

Applicable To

  • Papulopustular rash around the mouth, nose, or eyes

Excludes

Clinical Validation Requirements

  • Papules or pustules in perioral region
  • Absence of comedones
  • History of topical steroid or cosmetic use

Code-Specific Risks

  • Misidentification as rosacea or acne

Coding Notes

  • Ensure documentation specifies the absence of comedones and the presence of papules or pustules.

Ancillary Codes

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

Irritant contact dermatitis due to drugs

L25.1
Use if perioral dermatitis is steroid-induced.

Long-term (current) use of other drugs

Z79.899
Use if there is a history of long-term topical steroid use.

Differential Codes

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

Rosacea, unspecified

L71.9
Presence of telangiectasia or flushing.

Acne vulgaris

L70.0
Presence of comedones.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Perioral Dermatitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L71.0.

Impact

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

Mitigation Strategy

Use specific descriptors for rash location and appearance.

Impact

Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.

Mitigation Strategy

Ensure documentation specifies absence of telangiectasia and comedones.

Impact

Lack of specific details can lead to audit flags.

Mitigation Strategy

Ensure detailed documentation of rash characteristics and history.

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 Perioral Dermatitis, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Perioral Dermatitis

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

Perioral dermatitis with steroid use

Specialty: Dermatology

Required Elements

  • Location of rash
  • Morphology of lesions
  • History of topical steroid use

Example Documentation

LOCATION: Perioral, sparing vermilion border. MORPHOLOGY: 1-2 mm papules with fine scale. TRIGGERS: Hydrocortisone cream use.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Rash around mouth.
Good Documentation Example
50 papules with erythematous base in perioral distribution, sparing lip border. History of daily fluorinated toothpaste use.
Explanation
The good example provides specific location, morphology, and potential triggers.

Need help with ICD-10 coding for Perioral Dermatitis? Ask your questions below.

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