ICD 10 Coding Alert

Dermatology:

Don't Get Zapped When Radiation-Related Disorders Codes Change

In 2015, look for debut of the L57.- codes.

In the Dermatology Coding Alert volume 10 number 10, we looked at how ICD-10 would change diagnosis coding for sunburn and other solar radiation-related skin conditions. This time, we’ll examine how your coding will change effective Oct. 1, 2015, for skin disorders caused by other sources of radiation.

ICD-10 contains a category of diagnoses relating to “Skin changes due to chronic exposure to nonionizing radiation,” which will map to ICD-9 codes that are now scattered among different sections. The new ICD-10 category, L57.-, consists of:

*ICD-9 code 701.8 maps to two ICD-10 codes in the L57.- category, but it will also map to other ICD-10 codes in other categories:

L11.8 — Other specified acantholytic disorders
L11.9 — Acantholytic disorder, unspecified
L66.4 — Folliculitis ulerythematosa reticulata
L85.8 — Other specified epidermal thickening
L87.1 — Reactive perforating collagenosis
L87.8 — Other transepidermal elimination disorders
L90.3 — Atrophoderma of Pasini and Pierini
L90.4 — Acrodermatitis chronica atrophicans
L90.8 — Other atrophic disorders of skin
L91.8 — Other hypertrophic disorders of the skin
L92.2 — Granuloma faciale [eosinophilic granuloma of skin]
L94.8 — Other specified localized connective tissue disorders
L98.5 — Mucinosis of the skin
L98.6 — Other infiltrative disorders of the skin and subcutaneous tissue

i — Other disorders of skin and subcutaneous tissue in diseases classified elsewhere.

**ICD-9 code 709.09 will also map to the codes in the ICD-10 “Other disorders of pigmentation” series (L81.-).

Learn more: For more information on the ICD-10 conversion, as well as specific ICD-9 to ICD-10 code bridges, visit https://www.aapc.com/codes/.