L24A9 Irritant contact dermatitis due friction or contact with other specified body fluids L24B0 Irritant contact dermatitis related to unspecified stoma or fistula L24B1 Irritant contact dermatitis related to digestive stoma or fistula
Full Answer
What is the ICD 10 code for non specific skin damage?
I would consider a diagnosis of 'skin damage' to be non-specific because it does not tell you anything in particular about the disease or condition itself, so I would use L98.9 - Disorder of the skin and subcutaneous tissue, unspecified.
What is moisture-associated skin damage (MASD)?
Moisture-associated skin damage (MASD) is the general term for inflammation or skin erosion caused by prolonged exposure to a source of moisture such as urine, stool, sweat, wound drainage, saliva, or mucus. It is proposed that for MASD to occur, another complicating factor is required in addition to mere moisture exposure.
What are the different types of moisture-associated skin damage?
The four specific types of moisture-associated skin damage that will be discussed here are periwound moisture-associated dermatitis, peristomal moisture-associated dermatitis, incontinence-associated dermatitis, and intertriginous dermatitis. The production of exudate is a normal result of the inflammatory stage of wound healing.
What are the symptoms of periwound moisture-associated dermatitis?
Symptoms Periwound moisture-associated dermatitis is marked by erythema (which may be harder to discern in persons with darkly pigmented skin), maceration (white, pale, or gray skin that is softened and/or wrinkled), and irregular or diffuse edges (as opposed to pressure ulcers which typically have distinct edges).
How do you code moisture-associated skin damage in ICD-10?
The WOCN® Society Announces New ICD-10-CM Codes for Moisture-Associated Skin DamageL24A0 Irritant contact dermatitis due to friction or contact with body fluids, unspecified.L24A1 Irritant contact dermatitis due to saliva.L24A2 Irritant contact dermatitis due to fecal, urinary or dual incontinence.More items...•
How would you describe moisture-associated skin damage?
Moisture-associated skin damage (MASD) is defined as inflammation and erosion of the skin caused by prolonged exposure to various sources of moisture, including urine or stool, perspiration, wound exudate, mucus, or saliva.
What are the 4 types of moisture-associated skin damage?
(MASD) is the umbrella term for four clinical manifestations, namely incontinence-associated dermatitis (IAD), intertriginous dermatitis (ITD), periwound moisture-associated dermatitis and peristomal moisture-associated dermatitis.
Is moisture-associated skin damage a pressure ulcer?
MASD caused by excessive moisture to the sacrum/buttock area is recognised as incontinence-associated dermatitis (IAD); its occurrence is an identified risk factor in the development of PUs. Treatment for IAD should therefore focus on both IAD management and pressure ulcer prevention.
How does moisture cause skin breakdown?
When the sweat is not able to evaporate, the stratum corneum becomes overly hydrated and macerated, facilitating friction damage that is often mirrored on both sides of the fold. This in turn leads to inflammation and denudation of the skin, making the area more prone to infection.
What does macerated skin look like?
Macerated skin looks lighter in color and wrinkly. It may feel soft, wet, or soggy to the touch. Skin maceration is often associated with improper wound care. In addition to the pain and discomfort it causes, maceration can also slow wound healing and make skin more vulnerable to infection.
How do you treat moisture associated dermatitis?
Prevention and treatment of MASD may encompass a variety of options including specialized equipment or surfaces, incontinence products, customized linen and fabrics, dressings, and skin cleansing agents, in addition to topical application of barriers and moisturizers to protect or strengthen the skin.
What is the difference between a pressure sore and a moisture lesion?
Pressure ulcers occur over any bony areas of the body but often occur on the bottom of the spine, heels, hips and buttocks and they tend to be regular in shape. Moisture lesions can vary in size, colour and shape and often appear as patches of sore skin which tend to occur in skin folds or on and between the buttocks.
What is moisture-associated skin damage?
Moisture-associated skin damage (MASD) is the general term for inflammation or skin erosion caused by prolonged exposure to a source of moisture such as urine , stool, sweat, wound drainage, saliva, or mucus. It is proposed that for MASD to occur, another complicating factor is required in addition to mere moisture exposure. Possibilities include mechanical factors (friction), chemical factors (irritants contained in the moisture source), or microbial factors (microorganisms). The moisture barrier of the skin plays a critical role in maintaining homeostasis within the body, mainly by concurrently slowing the movement of water out of the body ( transepidermal water loss, or TEWL) and regulating the absorption of water and solutes from outside the body. When exposed to excessive amounts of moisture, the skin will soften, swell, and become wrinkled, all of which make the skin more susceptible to damage from one of the complicating factors mentioned above.
What happens when you get too much moisture?
When exposed to excessive amounts of moisture, the skin will soften, swell, and become wrinkled, all of which make the skin more susceptible to damage from one of the complicating factors mentioned above. The four specific types of moisture-associated skin damage that will be discussed here are periwound moisture-associated dermatitis, ...
How to treat periwound moisture dermatitis?
Manage wound exudate with dressings chosen for proper absorbency. Apply a barrier film or skin protectant to the periwound skin when appropriate. The first step in treatment of periwound moisture-associated dermatitis is managing the excessive exudate.
What happens if you have excessive wound exudate?
Excessive amounts of wound exudate can cause the periwound (within 4 cm of wound edge) skin to become macerated and even break down. This type of skin damage is call periwound moisture-associated dermatitis. The chemical composition of the wound exudate greatly affects the potential damage that can be wrought. ...
What are the complicating factors for MASD?
It is proposed that for MASD to occur, another complicating factor is required in addition to mere moisture exposure. Possibilities include mechanical factors (friction), chemical factors (irritants contained in the moisture source), or microbial factors (microorganisms). The moisture barrier of the skin plays a critical role in maintaining ...
How does the moisture barrier help maintain homeostasis?
The moisture barrier of the skin plays a critical role in maintaining homeostasis within the body, mainly by concurrently slowing the movement of water out of the body ( transepidermal water loss, or TEWL) and regulating the absorption of water and solutes from outside the body.
Is exudate a normal part of wound healing?
The production of exudate is a normal result of the inflammatory stage of wound healing. However, the advent of moist wound healing has brought with it an understanding that moisture balance is the key to optimal outcomes. Excessive amounts of wound exudate can cause the periwound (within 4 cm of wound edge) skin to become macerated and even break down. This type of skin damage is call periwound moisture-associated dermatitis.
Overview
Other diseases of skin and subcutaneous tissue (700–709)
• 700 Corns and callosities
• 701 Other hypertrophic and atrophic conditions of skin
• 702 Other dermatoses
• 703 Diseases of nail
Infections of skin and subcutaneous tissue (680–686)
• 680 Carbuncle and furuncle
• 681 Cellulitis and abscess of finger and toe
• 682 Other cellulitis and abscess
• 683 Lymphadenitis, acute
Other inflammatory conditions of skin and subcutaneous tissue (690–698)
• 690 Erythematosquamous dermatosis
• 691 Atopic dermatitis and related conditions
• 692 Contact dermatitis and other eczema
• 693 Dermatitis due to substances taken internally
Etiology
The production of exudate is a normal result of the inflammatory stage of wound healing. However, the advent of moist wound healing has brought with it an understanding that moisture balance is the key to optimal outcomes. Excessive amounts of wound exudate can cause the periwound (within 4 cm of wound edge…
Symptoms
- Periwound moisture-associated dermatitis is marked by erythema (which may be harder to discern in persons with darkly pigmented skin), maceration (white, pale, or gray skin that is softened and/or wrinkled), and irregular or diffuse edges (as opposed to pressure ulcers which typically have distinct edges). Wounds with more viscous exudate are more ...
Risk Factors
- The following wounds are more prone to developing periwound moisture-associated dermatitis: 1. Diabetic foot ulcers 2. Venous leg ulcers 3. Pressure ulcers 4. Fungating tumors 5. Full-thickness (third-degree) burns Wound infection will also greatly increase the risk of periwound maceration, as it increases the exudate production.
Treatment & Interventions
- The following precautions can help minimize the risk of developing periwound moisture-associated dermatitis in at-risk patients and to minimize complications in patients already exhibiting symptoms: 1. Monitor the wound area routinely for changes in skin condition. 2. Manage wound exudate with dressings chosen for proper absorbency. 3. Apply a barrier film or …
References
- Alvey B, Beck DE. Peristomal Dermatology. Clin Colon Rectal Surg. 2008;21(1):41-44. doi: 10.1055/s-2008-1055320 Black JM, Gray M, Bliss DZ, Kennedy-Evans KL, Logan S, Baharestani MM, Colwell JC, Goldberg M, Ratliff CR. MASD Part 2: Incontinence-Associated Dermatitis and Intertriginous Dermatitis. J Wound Ostomy Continence Nurs. 2011;38(4):359-370. doi: 10.1097/…
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