icd 10 code for actinic keratosis due to prolonged sun exposure

by Maxime Lemke DVM 10 min read

ICD-10 | Actinic keratosis (L57. 0)

Full Answer

What is the ICD 10 code for actinic keratosis?

Actinic keratosis. L57.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM L57.0 became effective on October 1, 2020. This is the American ICD-10-CM version of L57.0 - other international versions of ICD-10 L57.0 may differ.

What is the ICD 10 code for photosensitization due to Sun?

Photosensitization due to sun; Solar degeneration; Sun damaged skin; ICD-10-CM L56.8 is grouped within Diagnostic Related Group(s) (MS-DRG v 38.0): 606 Minor skin disorders with mcc; 607 Minor skin disorders without mcc; Convert L56.8 to ICD-9-CM. Code History. 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)

What is the ICD 10 code for seborrheic keratosis?

Subcategory L82 contains codes for SK, and includes dermatosis papulosa nigra and Leser-Trelat disease. L82.0 Inflamed seborrheic keratosis L82.1 Other seborrheic keratosis

What is actinic keratosis and how is it treated?

Actinic keratosis (AK) is one of the most common conditions that older patients present with in dermatology practices. Also known as solar keratosis, AK is a precancerous skin growth that develops due to excessive exposure to the sun’s UV rays or due to indoor tanning.

What is the ICD-10 diagnosis code for actinic keratosis?

ICD-10 code L57. 0 for Actinic keratosis is a medical classification as listed by WHO under the range - Diseases of the skin and subcutaneous tissue .

What is the ICD-10 code for sun damaged skin?

Acute skin change due to ultraviolet radiation, unspecified L56. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM L56. 9 became effective on October 1, 2021.

How do you code actinic keratosis?

L57.0 Actinic keratosis L57. 0 includes keratosis not otherwise specified, solar keratosis, and senile keratosis. An additional code should be reported to identify the source of the ultraviolet radiation with codes W89.

What is the correct code for a patient with solar keratosis?

ICD-10 | Actinic keratosis (L57. 0)

What is sun damaged skin?

Dermatologists refer to the damage the sun does to skin by several names, including photoaging, photodamage, solar damage, or sun damage. It happens when ultraviolet (UV) light hits skin unprotected by sunscreen, causing DNA changes at a cellular level.

What is solar dermatitis?

SOLAR dermatitis may be defined as an acute or chronic inflammatory reaction of the skin to sunlight. It is characterized by an eruption consisting of pruriginous plaquelike, erythematous, urticarial, papular and vesicular lesions, occurring usually on exposed areas.

What is the difference between 56501 and 56515?

If the ob-gyn destroys two small lesions, you would usually report 56501. But if he destroys two invasive lesions, the physician might consider this extensive and use 56515. Generally, however, destroying more than three lesions places you in the extensive range, and you would submit 56515.

What is the difference between CPT codes 17000 and 17110?

17000 is for the first lesion. If up to 14 lesions are fulgerated you would use 17000 (first lesion) AND 17003 (2nd thru 14) and for 15 or more you would only use code 17004. Code 17110 is used just once for up to 14 lesions, if 15 or more then you would use 17111.

What is the main term for destruction of 1 actinic keratoses on the face?

Cryo CPT Codes Destruction of any ONE Actinic Keratosis (AK).

Is actinic keratosis precancerous?

Some actinic keratoses can turn into squamous cell skin cancer. Because of this, the lesions are often called precancer. They are not life-threatening. But if they are found and treated early, they do not have the chance to develop into skin cancer.

What is the ICD-10 code for skin lesion?

ICD-10-CM Code for Disorder of the skin and subcutaneous tissue, unspecified L98. 9.

Is actinic keratosis benign or malignant?

Overview. Unlike most skin conditions caused by the sun, actinic keratosis (AK), which is sometimes called solar keratosis, is usually benign. At least 90 percent of these small, scaly skin spots will not turn into cancer, says Sean R.

What is AK in ICd 10?

Keratosis ICD-10 Coding. Actinic keratosis (AK) is a small, rough spot on the skin. It usually occurs in middle-aged and older individuals, and may also be called senile keratosis or solar keratosis. AK is a premalignant lesion, which may develop into skin cancer. Although clinicians generally can diagnose AK by examining the area, ...

What is the ICd 10 code for AK?

A biopsy is performed. A diagnosis of AK is confirmed. The patient will receive cryotherapy. The correct ICD-10-CM diagnosis code is L57.0

What is the correct coding for tanning bed?

Appropriate coding is L57.0 Actinic keratosis and W89.1XXA Exposure to tanning bed. Note that W89.1 requires a seventh character; placeholders (“X”) are required because the 7 th character must always be in the 7 th position.

What should be included in clinical documentation of keratosis?

Clinical documentation of keratosis should include the type of keratosis—actinic or seborrheic—and whether the keratosis is inflamed ( or not otherwise specified). The location of the growths must be noted, as should contributing factors, such as tanning bed exposure.

How to diagnose AK?

Although clinicians generally can diagnose AK by examining the area, biopsy may be necessary. AK typically develops on fair-skinned individuals, those with excessive sun exposure, or individuals with indoor tanning radiation. Treatment for AK is generally straightforward, and may include cryosurgery (freezing), scraping, and photodynamic therapy.

Is SK a benign disease?

Seborrheic keratosis (SK) may present as single or multiple elevated plagues and nodules that are often hyper-pigmented (darkened) with an overgrown, greasy surface. This type of SK is benign, of unknown cause, and involves only the top layers of the epidermis.

Diagnosis

  • Actinic keratosis (AK) is a small, rough spot on the skin. It usually occurs in middle-aged and older individuals, and may also be called senile keratosis or solar keratosis. AK is a premalignant lesion, which may develop into skin cancer. Although clinicians generally can diagnose AK by examining the area, biopsy may be necessary. Clinical documentation of keratosis should include the type …
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Treatment

  • AK typically develops on fair-skinned individuals, those with excessive sun exposure, or individuals with indoor tanning radiation. Treatment for AK is generally straightforward, and may include cryosurgery (freezing), scraping, and photodynamic therapy.
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Symptoms

  • Seborrheic keratosis (SK) may present as single or multiple elevated plagues and nodules that are often hyper-pigmented (darkened) with an overgrown, greasy surface. This type of SK is benign, of unknown cause, and involves only the top layers of the epidermis. No treatment is necessary, although there is risk of irritation or infection caused by friction (such as when clothing rubs the …
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Categories

  • Category L57.0 describes AK, including keratosis not otherwise specified, solar keratosis, and senile keratosis. Subcategory L57.0 requires that you use an additional code to identify the source of the ultraviolet radiation.
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Clinical significance

  • Subcategory L82 contains codes for SK, and includes dermatosis papulosa nigra and Leser-Trelat disease.
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Miscellaneous

  • L82 also contains an Excludes II note telling the user that codes for seborrheic dermatitis (L21-) may be cited, in addition to the L82 code, if both are supported in documentation.
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