icd 10 code for hypertrophic actinic keratosis

by Emie Corkery 4 min read

ICD-10 | Actinic keratosis (L57. 0)

What does hypertrophic actinic keratosis mean?

Actinic keratosis is a rough, scaly patch or bump on the skin. It's also known as a solar keratosis. Actinic keratoses are very common, and many people have them. They are caused by ultraviolet (UV) damage to the skin. Some actinic keratoses can turn into squamous cell skin cancer.

What is hypertrophic keratosis?

An actinic keratosis (ak-TIN-ik ker-uh-TOE-sis) is a rough, scaly patch on the skin that develops from years of sun exposure. It's often found on the face, lips, ears, forearms, scalp, neck or back of the hands.Jan 13, 2021

How do you code actinic keratosis?

Destruction of premalignant lesions (actinic keratoses) should be billed based on the number of lesions. The first should be billed with code 17000, and each additional lesion, up to 14, should be billed with add-on code 17003. The destruction of 15 or more lesions should be billed with a single unit of code 17004.

What is the ICD-10 code for keratosis?

L85.1Acquired keratosis [keratoderma] palmaris et plantaris L85. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What are the different types of actinic keratosis?

Histologically, actinic keratoses are usually divided into 5 different types, namely, hypertrophic, atrophic, bowenoid, acantholytic, and pigmented. The hypertrophic and atrophic types are the most common variants.

What does actinic mean?

Definition of actinic : of, relating to, resulting from, or exhibiting chemical changes produced by radiant energy especially in the visible and ultraviolet parts of the spectrum actinic light actinic keratosis.

What is the ICD 10 code for actinic damage?

L57. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does CPT code 17000 mean?

CPT® Code 17000 in section: Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses) HCPCS.

What is a category code?

Category codes are user defined codes to which you can assign a title and a value. The title appears on the appropriate screen next to the field in which you type the code.

What is the ICD-10 code for Psoriasiform keratosis?

L11. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is L82 1 diagnosis?

ICD-10 | Other seborrheic keratosis (L82. 1)

Is Verrucous keratosis the same as seborrheic keratosis?

Seborrheic keratoses are common verrucous or stuck-on epidermal papules of various colors (Fig. 448-8). They are commonly seen with advancing age but may arise suddenly (sign of Leser-Trélat) in association with internal malignancy.

What is AK on the skin?

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.

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.

Who is John Verhovshek?

John Verhovshek, MA, CPC, is a contributing editor at AAPC. He has been covering medical coding and billing, healthcare policy, and the business of medicine since 1999. He is an alumnus of York College of Pennsylvania and Clemson University.

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.

When coding for actinic keratosis in ICD-10, be sure to look at the

When coding for actinic keratosis in ICD-10, be sure to look at the clinical documentation for the type of keratosis diagnosed and whether it is inflamed. In addition, the location of the growths should be documented, along with any contributing factors such as exposure to a tanning bed.

What is the color of AKs?

These lesions may be elevated and resemble warts, and the color can be red, tan, white, pink, or flesh-toned. They can vary in size from an eighth to a quarter of an inch.

What is the most common precancer?

According to the American Academy of Dermatology, an actinic keratosis is considered the most common type of premalignant lesion that may turn into skin cancer. According to the Skin Cancer Foundation: Actinic keratosis is the most common precancer; it affects more than 58 million Americans.

Where is AK found?

An actinic keratosis (AK), also known as a solar keratosis or a senile keratosis, is a crusty, scaly patch on a person’s skin that develops from years of exposure to ultraviolet rays, either from the sun or from artificial sources such as tanning beds. It is most commonly found on the face, lips, ears, back of your hands, forearms, scalp or neck in people who are middle-aged or older.

Is actinic keratosis premalignant?

We know that an actinic keratosis is a premalignant lesion based on the information we learned above. In the Tabular, code 17000 can be verified as Destruction (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (e.g., actinic keratoses); first lesion.

What is the second most common type of skin cancer in the United States?

And although AKs can take years to develop, the American Osteopathic College of Dermatology reports that a small percentage of actinic keratoses lesions eventually turn into a type of skin cancer called squamous cell carcinoma ( SCC), the second most common type of skin cancer in the United States.

Why is my immune system weak?

A weak immune system may be due to a medical condition that makes the skin overly sensitive to UV rays. This can occur in a person who works with substances that contain polycyclic aromatic hydrocarbons (PAHs), such as coal or tar. Roofers would be in this group, as they work with tar and spend a lot of time outdoors.

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