ICD-10-CM Diagnosis Codes
A00.0 | B99.9 | 1. Certain infectious and parasitic dise ... |
C00.0 | D49.9 | 2. Neoplasms (C00-D49) |
D50.0 | D89.9 | 3. Diseases of the blood and blood-formi ... |
E00.0 | E89.89 | 4. Endocrine, nutritional and metabolic ... |
F01.50 | F99 | 5. Mental, Behavioral and Neurodevelopme ... |
ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical classification list by the World Health Organization (WHO). It contains codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases.
Why ICD-10 codes are important
The ICD-10-CM is a catalog of diagnosis codes used by medical professionals for medical coding and reporting in health care settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.
Chondrodermatitis nodularis is a solitary, firm, and oval-shaped nodule, 4–6 mm in diameter, with central crust and surrounding erythema. In men, the most common site for CNH is the helix, while in women it is more often found on the antihelix.
Topical nitroglycerin. Nitroglycerin ointment (containing 1–2% glyceryl trinitrate) causes relaxation and vasodilation of the arteriolar smooth muscle and can reverse the ischaemic changes seen in chondrodermatitis nodularis. Apply twice daily to the affected area.
Chondrodermatitis nodularis is a common inflammatory condition which affects the skin and cartilage of the helix or antihelix of the ear. Chondrodermatitis nodularis is sometimes called Winkler disease, after the dermatologist who described it in 1915. It is also called nodular chondrodermatitis , chondrodermati tis nodularis helicis, ...
It is typically unilateral, located on the sleeping side, but can be bilateral. CNH is painful and tender. Pain at night may prevent sleeping on the affected side. The lesion can bleed or discharge a small amount of scaly material.
Chondrodermatitis nodularis occurs more frequently in fair-skinned and middle-aged older males, with 10–35% of the cases reported in women. It is rarely reported in children.
Nodul es are more common on the right ear, likely related to a higher prevalence of sleeping on the right side. Figure 4. Female patient with psoriasis and also CNH on the antihelix. Several cases of childhood CNH have been reported as have isolated case studies in infants.
However, no genetic basis has been found. Certain practices such as sleeping on the affected ear, extensive phone or cell phone usage, large ear pieces worn by telephone operators, and headphones have all been linked to cases of CNH. It has been observed that most patients have short hair at the time of diagnosis.
CNH is generally not considered a sign of an underlying systemic disease process and there is no tendency to malignant change. However, there have been some reports of associated underlying systemic diseases, in particular, connective tissue diseases, in which CNH can be an associated sign or even presenting feature.
Some authors have argued that CNH may actually represent a type of perforating disorder. The idea is that the body attempts to eliminate the damaged dermal collagen transepidermally. More recently, some investigators have tried to explain the pathogenesis by changes within the vasculature itself.
Although likely a secondary phenomenon, cases of CNH have been found to have evidence of nerve hyperplasia or increased small nerves adjacent to the involved cartilage. This was absent in control lesions and skin cancers. This could help to explain the exquisite tenderness often seen in patients with CNH.