It is noted that the subcutaneous tissue is infected, as well. Proper coding is: L73.2 (to report the hidradenitis suppurativa) L08.8 Other specified local infections of the skin and subcutaneous tissue (to report the infection of the subcutaneous tissue) 11450-LT (to report the excision procedure on the left arm)
Women are three times more likely to be diagnosed with this condition than men. A diagnosis of hidradenitis suppurativa requires the presence of: Typical lesions: deep painful nodules, abscesses, draining sinuses, scarring, etc.; Located in axillae, groin, perineal and perianal regions, buttocks, mammary folds; and.
Signs and Symptoms Lead to Diagnosis. Hidradenitis suppurativa may first appear as a pimple, cyst, or boil. As the condition worsens, the bumps grow deep into the skin and may become painful. The bumps can rupture, leaking foul-smelling, blood-tinged pus. As the bumps heal, they can cause scarring of the skin, which shows as tunnel-like tracks.
The lesions are located in both the left and right axilla areas. Proper coding is: As shown here, diagnosis coding for hidradenitis suppurativa and treatment coding relies on clear and concise documentation of the signs and symptoms, location, severity, and complications.
For excision, select appropriate codes by location. The most common location involved with hidradenitis suppurativa is the axilla. Excision in this area is reported using:
Axillary procedures are unilateral. If the provider excises skin on both the left and right axilla, report multiple units of the appropriate code using either lateral modifiers RT Right side and LT Left side, or modifier 50 Bilateral procedure, depending on the payer’s preference. Coding example:
L73.2 is a billable ICD code used to specify a diagnosis of hidradenitis suppurativa. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
The disease is not contagious. There are indications that it is hereditary among certain ethnic groups and autoimmune in nature. Onset is most common in the late teens and early 20's.
L73.2 is a billable diagnosis code used to specify a medical diagnosis of hidradenitis suppurativa. The code L73.2 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
As the abscesses heal, they produce significant scarring of the skin.The signs and symptoms of hidradenitis suppurativa appear after puberty, usually in a person's teens or twenties. Nodules are most likely to form in the armpits and groin. They may also develop around the anus, on the buttocks, or under the breasts.
Rarely, nodules on the buttocks can develop into a type of skin cancer called squamous cell carcinoma.
Hidradenitis is combination of two Greek words i.e. Hidros and adenos. In simple word sweat gland. Some authors also use the term "apocrinitis" rather than hidradenitis due to the fact that this disease appears to primarily affect the apocrine glands, Hidradenitis suppurativa (HS) poses a difficult problem for both the physician and the patient as a very little progress has been made in nonsurgical treatment in over 100 years.
96567 Photodynamic therapy by external application of light to destroy premalignant and/or malignant lesions.
Hidradenitis suppurativa can be treated with antibiotics and there is promising new treatments with tumor necrosis factor-alpha medications. Surgical intervention is sometimes required once scarring occurs. The infection produces very painful nodules and cysts which recur over and over.
People with Hidradenitis Suppurativa Excision may develop a condition, where they get recurring boils under the arms and in the groin. These boils are so persistent, that they begin to cause scarring. The boils can drain which can stain clothing and cause a foul odor which can be socially embarrassing for the patient.