ICD-10-CM Code for Hirsutism L68. 0.
Nonscarring hair loss, unspecifiedICD-10 code: L65. 9 Nonscarring hair loss, unspecified.
Other specified nonscarring hair lossICD-10 code: L65. 8 Other specified nonscarring hair loss.
L65. 9 - Nonscarring hair loss, unspecified. ICD-10-CM.
Code R53. 83 is the diagnosis code used for Other Fatigue. It is a condition marked by drowsiness and an unusual lack of energy and mental alertness. It can be caused by many things, including illness, injury, or drugs.
2: Polycystic ovarian syndrome.
Focal hair loss is secondary to an underlying disorder that may cause nonscarring or scarring alopecia. Nonscarring focal alopecia is usually caused by tinea capitis or alopecia areata, although patchy hair loss may also be caused by traction alopecia or trichotillomania.
Scarring, or cicatricial alopecia, is an inflammatory condition that destroys hair follicles, causing scarring and permanent hair loss. The Mount Sinai's Alopecia Center of Excellence can help. Dermatologists have deep experience diagnosing and treating this form of alopecia.
Alopecia totalis (AT) is a condition characterized by the complete loss of hair on the scalp. It is an advanced form of alopecia areata a condition that causes round patches of hair loss.
L63. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM L63.
L66ICD-10 code L66 for Cicatricial alopecia [scarring hair loss] is a medical classification as listed by WHO under the range - Diseases of the skin and subcutaneous tissue .
L63.9L63. 9 - Alopecia areata, unspecified. ICD-10-CM.
Excessive hair growth at inappropriate locations, such as on the extremities, the head, and the back. It is caused by genetic or acquired factors, and is an androgen-independent process.
It is caused by genetic or acquired factors, and is an androgen-independent process. This concept does not include hirsutism which is an androgen-dependent excess hair growth in women and children . Generalized or localized hair growth of abnormal length and density. It may be congenital or acquired (e.g., drug-induced).
Although there is no universally accepted definition of the word “transgender,” here are some terms you should know when coding patients with gender dysphoria: Bigendered — Individuals who identify as both or alternatively male and female, as no gender, or as a gender outside the male or female binary. Crossdresser — Individuals who dress in clothing associated with the opposite sex — for reasons that include a need to express femininity or masculinity, artistic expression, performance, or erotic pleasure — but do not identify as that gender.
For payers to cover gender reassignment, like all other procedures, medical necessity needs to be proven. There must be evidence of a strong and persistent cross-gender identification (e.g., the individual is insistent on being the other sex).
Gender dysphoria is manifested in a variety of ways, including a strong desire to be treated as the other gender or to be rid of sex characteristics, or a strong conviction that the patient has feelings and reactions typical of the other gender. For a person to be diagnosed with gender dysphoria, there must be a marked difference between the individual’s expressed/experienced gender and the gender others would assign to him or her, and it must continue for at least six months.
Although there is no specific procedure code for people diagnosed with gender dysphoria who are choosing to transition, there are two CPT® codes that pertain to intersex surgery: 55970 Intersex surgery; male to female 55980 Intersex surgery; female to male Codes 55970 and 55980 apply to surgery for newborns with ambiguous genitalia, as well. Although not a comprehensive list, here are common procedures performed during gender transition surgery: Vaginectomy (FTM) – Look to codes such as 58275 Vaginal hysterectomy, with total or partial vaginectomy, 57111 Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy), etc. Urethroplasty (MTF and FTM) – Look to applicable CPT® codes 53410 – 53430. Phalloplasty (FTM) – 55899 Unlisted surgery of the male genital system, for metoidioplasty and phalloplasty Scrotoplasty (MTF) – 55175 Scrotoplasty; simple and 55180 Scrotoplasty; complicated Penectomy (MTF) – 54125 Amputation of penis; complete Vaginoplasty (MTF) – 57335 Vaginoplasty for intersex state Labiaplasty (MTF) – 56625 Vulvectomy simple; complete Clitoroplasty (MTF) – 56805 Clitoroplasty for intersex state There are also surgical procedures associated with intersex surgery that payers typically consider to be cosmetic: Abdominoplasty – 15830 Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy Blepharoplasty – 15822 Anesthesia for reconstructive procedures of eyelid (eg, blepharoplasty, ptosis surgery) Otoplasty – 69300 Otoplasty, protruding ear, with or without size reduction Rhinoplasty – 30410 Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of nasal tip Genioplasty – 21120 Genioplasty; augmentation (autograft, allograft, prosthetic material) Rhytidectomy – 15828 Rhytidectomy; cheek, chin, and neck.
Remember when coding and reporting patient services for gender dysphoria always recognize and respect the process of transitioning gender. These individuals have an exceptionally high suicide rate and require unique healthcare needs. The patient has the right to confidentiality.
Although gender dysphoria has been around throughout history, transgender surgery only began in the early 1900s. Here is a time line of its progress in the medical field: