icd 10 code for disseminated superficial actinic porokeratosis

What is the ICD 10 code for porokeratosis?

Disseminated superficial actinic porokeratosis (DSAP) L56.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM L56.5 became effective on October 1, 2018. This is the American ICD-10-CM version of L56.5 - other international versions of ICD-10 L56.5 may differ.

What is disseminated superficial actinic porokeratosis?

What is disseminated superficial actinic porokeratosis? Disseminated superficial actinic porokeratosis, or DSAP, is an inherited keratinisation disorder that causes discrete dry patches on the arms and legs. DSAP is a special type of inherited 'sunspot".

Is porokeratosis autosomal dominant?

The tendency to DSAP is inherited as an autosomal dominant characteristic, which means on average half of the children of an affected parent will also have the tendency. The causative genes in porokeratosis have included the mevalonate pathway genes MVD, MVK, FDPS and PMVK.

What is the difference between DSAP and actinic keratosis?

DSAP is sometimes confused with multiple actinic keratoses, but actinic keratoses are more likely to arise on the face and hands and have a central scale rather than a peripheral scale. What is the treatment for DSAP?

What is actinic porokeratosis?

Disseminated superficial actinic porokeratosis (DSAP) is a skin condition that causes dry, scaly patches.[8488] Symptoms include a large number of small, brownish patches with a distinctive border, found most commonly on sun-exposed areas of the skin (particularly the lower arms and legs).[8488][8489] DSAP usually ...

What is L56 5?

Disseminated superficial actinic porokeratosisL56. 5 - Disseminated superficial actinic porokeratosis (DSAP) | ICD-10-CM.

Is porokeratosis the same as DSAP?

Disseminated superficial actinic porokeratosis, or DSAP, is an inherited keratinisation disorder that causes discrete dry patches on the arms and legs. DSAP is a special type of inherited 'sunspot". The name porokeratosis means scaly pore and is a misnomer as porokeratosis is not related to pores.

What is the cause of DSAP?

DSAP is more common on your arms and legs but may also affect skin that is damaged from the sun. DSAP is caused by an ultra-sensitivity to sunlight. ‌A majority of people with DSAP inherit it from family genes. However, it is possible to develop the condition if you have a weak immune system.

What is the ICD 10 code for Porokeratosis?

ICD-10-CM Code for Disseminated superficial actinic porokeratosis (DSAP) L56. 5.

What is the difference between actinic keratosis and DSAP?

It is sometimes confused with actinic keratosis which is also caused by sun exposure (See Patient Information Leaflet on Actinic Keratoses); however, actinic keratosis is more likely to arise on the face and hands. DSAP is twice as likely to develop in women compared with men and is more common in lighter skin type.

How is disseminated superficial actinic Porokeratosis treated?

Treatment options include the following.Topical diclofenac. Diclofenac is an NSAID that inhibits COX-2. ... Ingenol mebutate. ... Topical vitamin D analog. ... 5-fluorouracil. ... Imiquimod. ... Photodynamic therapy. ... Retinoids. ... Cryotherapy and other.More items...

What does DSAP mean?

DSAPAcronymDefinitionDSAPDynamic Situation Assessment and PredictionDSAPDefense Security Assistance ProgramDSAPData Service Access PointDSAPDNA Sequence Analysis Program11 more rows

What does DSAP look like?

In terms of appearance, DSAP is more extensive than other subtypes and appears as reddish and brown spots. These tend to appear symmetrically across a person's back, arms, legs, and shoulders. A variety of factors may cause DSAP to develop. The main cause seems to be exposure to ultraviolet (UV) light.

Is porokeratosis and autoimmune disease?

The development of disseminated superficial porokeratosis is occasionally observed in association with renal transplant, autoimmune diseases and various hematological disorders, suggesting a certain immunosuppression may trigger a widespread abnormal keratinization.

Is DSAP itchy?

DSAP is usually without symptoms. The affected areas often feel dry and rough. However, exposure to sun can cause them to itch or sting and grow in size (still remaining small) and number.

What are the genes that cause porokeratosis?

The causative genes in porokeratosis have included the mevalonate pathway genes MVD, MVK, FDPS and PMVK. These result in decreased cholesterol in the affected areas of the skin.

What is the smallest DSAP lesion?

The smallest DSAP lesion is a 1–3 mm conical papule, skin coloured, brownish-red or brown in colour. It is based around a hair follicle containing a keratotic (scaly) plug. Larger plaques have a sharp, slightly raised, keratotic ring, a fraction of a millimetre thick, with a diameter of 10 mm or more. The skin within the ring is thinned and mildly reddened or slightly brown, and a pale ring may be seen just within the ridge. The ridge itself is often a darker brown than the rest of the lesion. The central area is most often pale and smooth, but it may be red, scaly, dry, or have scaly follicular plugs.

Can porokeratosis occur in family members?

There are several kinds of porokeratosis, and these can occur in family members or in the patient that has DSAP. DSAP is sometimes confused with multiple actinic keratoses, but actinic keratoses are more likely to arise on the face and hands and have a central scale rather than a peripheral scale.

Does DSAP cause remission?

If the DSAP has been induced by drug-induced immune suppression, withdrawal of the drug has been reported to result in remission of DSAP.

Is squamous cell carcinoma a DSAP?

The development of squamous cell carcinoma (SCC) within a DSAP lesion is the main concern. This is uncommon (< 10% of individuals with DSAP develop SCC). However, many patients with DSAP have had significant exposure to the sun and may also have actinic keratoses and other forms of skin cancer (particularly basal cell carcinoma ). SCC presents as a solitary tender enlarging scaly or ulcerated plaque or nodule.