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ICD-10 Coding for Pseudofolliculitis Barbae(L73.1)

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

Also known as:

Razor BumpsPFB

Related ICD-10 Code Ranges

Complete code families applicable to Pseudofolliculitis Barbae

L60-L75Primary Range

Disorders of skin appendages

This range includes conditions related to hair and follicular disorders, under which pseudofolliculitis barbae is categorized.

Key Information: ICD-10 code for pseudofolliculitis barbae

Essential facts and insights about Pseudofolliculitis Barbae

The ICD-10 code for pseudofolliculitis barbae is L73.1, used for diagnosing shaving-related inflammation primarily affecting the beard area.

Primary ICD-10-CM Code for pseudofolliculitis barbae

Pseudofolliculitis barbae
Billable Code

Decision Criteria

clinical Criteria

  • Presence of tightly curled hairs and papules in the beard area post-shaving.

documentation Criteria

  • Detailed description of lesions and shaving history.

Applicable To

  • Razor bumps

Excludes

  • Acne keloid (L73.0)
  • Hidradenitis suppurativa (L73.2)

Clinical Validation Requirements

  • Physical exam showing transfollicular hair penetration
  • Negative bacterial culture if pustules present

Code-Specific Risks

  • Confusion with L73.0 or L73.2 due to similar presentation

Coding Notes

  • Ensure documentation specifies the location, shaving history, and lesion characteristics to support L73.1.

Ancillary Codes

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

Scar conditions and fibrosis of skin

L90.5
Use when scarring with tissue loss is present.

Other specified local infections of skin and subcutaneous tissue

L08.89
Use when a secondary bacterial infection is present.

Differential Codes

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

Acne keloid

L73.0
Presence of keloid formation differentiates it from pseudofolliculitis barbae.

Acne vulgaris

L70.0
Presence of comedones differentiates it from pseudofolliculitis barbae.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Pseudofolliculitis Barbae to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L73.1.

Impact

Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Fails to meet documentation standards., Financial: Potential for denied claims due to insufficient documentation.

Mitigation Strategy

Provide detailed lesion descriptions., Include shaving history and any attempted treatments.

Impact

Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate patient records.

Mitigation Strategy

Ensure documentation specifies absence of keloid formation and comedones.

Impact

Lack of detailed lesion description and history can lead to audit issues.

Mitigation Strategy

Ensure comprehensive documentation of lesion characteristics and patient 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 Pseudofolliculitis Barbae, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Pseudofolliculitis Barbae

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

Dermatology Progress Note

Specialty: Dermatology

Required Elements

  • Lesion description
  • Shaving history
  • Treatment response

Example Documentation

Skin: Beard area shows 15-20 erythematous papules (2-3mm) in submental region. Dermatoscopy reveals curved hairs penetrating epidermis at 5:1 density/cm². Patient reports symptoms began 36hrs after using multiblade razor. No fluctuance or purulence. Negative Wood's lamp examination. Plan: Discontinue shaving x4 weeks, clippers with #2 guard recommended.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Razor bumps present.
Good Documentation Example
Multiple 3mm erythematous papules with visible hair loops in submandibular region, onset 24hrs post-shaving in patient with tightly curled beard hairs.
Explanation
The good example provides specific lesion characteristics and shaving history, supporting accurate coding.

Need help with ICD-10 coding for Pseudofolliculitis Barbae? Ask your questions below.

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