· What ICD-10-CM diagnosis code do I report for a patient seen for a release of scar contracture of the flexor surface of the left elbow after healing of a third degree burn? Answer: You would report L90.5 (scar conditions and fibrosis of the skin) and T22.322S. (Burn of third degree of left elbow, sequela).
· L90.5 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 L90.5 became effective on October 1, 2021. This is the American ICD-10-CM version of L90.5 - other international versions of ICD-10 L90.5 may differ. Applicable To Adherent scar (skin) Cicatrix
· M24.549 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 M24.549 became effective on October 1, 2021. This is the American ICD-10-CM version of M24.549 - other international versions of ICD-10 M24.549 may differ.
The ICD-10-CM code L90.5 might also be used to specify conditions or terms like abdominal skin scar, acne scar, acne scars - mixed atrophic and hypertrophic, adherent scar, atrophic acne scar , atrophic scar, etc. Tabular List of Diseases and Injuries
Contractures are an abnormal occurrence that happens when a large area of skin is damaged and lost, resulting in a scar. The scar formation pulls the edges of the skin together, causing a tight area of skin.
L90. 5 - Scar conditions and fibrosis of skin | ICD-10-CM.
ICD-10 | Hypertrophic scar (L91. 0)
5: Scar conditions and fibrosis of skin.
Laser scar revision: a review....CPT14000-14302Adjacent tissue transfer or rearrangement [includes codes 14000, 14001, 14020, 14021, 14040, 14041, 14060, 14061, 14301, 14302]12 more rows
As this normal process occurs there is a risk of adhesions in the adjacent tissues. Eventually, these collagen fibers are replaced with stronger and more organized collagen, representing a smoother and flat scar which is paler in appearance. A scar that stays within the boundaries of the original wound is a firm scar.
A hypertrophic scar is a thick raised scar. It's an abnormal response to wound healing in which extra connective tissue forms within the original wound area. The result a raised scar. Normally, a small wound to the top layer of your skin heals nicely. New skin forms as the wound heals.
A keloid is usually larger than the original wound. A scar that stays inside the bounds of the original wound is a hypertrophic scar. A keloid scar is a thick raised scar. It can occur wherever you have a skin injury but usually forms on earlobes, shoulders, cheeks or the chest.
701.4 - Keloid scar | ICD-10-CM.
Scar tissue is made primarily of a protein called collagen.
ICD-10 Code for Local infection of the skin and subcutaneous tissue, unspecified- L08. 9- Codify by AAPC.
Treatment of a keloid with radiation therapy (up to 3 fractions) is considered medically necessary as adjunct therapy following surgical excision (initiated within 3 days) when the medically necessary criteria for keloid removal are met....CPTL91.0Hypertrophic scar (keloid)12 more rows
L90.5 is a billable diagnosis code used to specify a medical diagnosis of scar conditions and fibrosis of skin. The code L90.5 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)
Anything that irritates, clogs, or inflames your skin can cause symptoms such as redness, swelling, burning, and itching. Allergies, irritants, your genetic makeup, and certain diseases and immune system problems can cause rashes, hives, and other skin conditions.
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code L90.5:
Anything that irritates, clogs, or inflames your skin can cause symptoms such as redness, swelling, burning, and itching. Allergies, irritants, your genetic makeup, and certain diseases and immune system problems can cause rashes, hives, and other skin conditions. Many skin problems, such as acne, also affect your appearance.
Contracture of muscle, other site 1 M62.48 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM M62.48 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of M62.48 - other international versions of ICD-10 M62.48 may differ.
The 2022 edition of ICD-10-CM M62.48 became effective on October 1, 2021.
Rationale: Scar contractures due to burn injury are reported with code L90.5 that is the first-listed or principal diagnosis and the burn injury is reported as a secondary code to identify the cause of the sequela.
The ‘S’ is added only to the injury code, not the sequela code. The seventh character ‘S’ identifies the injury responsible for the sequela. The specific type of sequela (e.g. scar) is sequenced first, followed by the injury code.”.
S93.412S Sprain of calcaneofibular ligament of the left ankle, sequela
The sequela code may also be expanded at the fourth, fifth, or sixth character levels to include the manifestation