Wiki Dx Code for Perianal Streptococcal Dermatitis

[NBarna]

One of our pediatricians has diagnosed a patient with Perianal Streptococcal Dermatitis. I can't find a diagnosis code specifically for this condition. I'm leaning toward 686.9 - Unspecified local infection of skin and subcutaneous tissue. The dermatitis codes (690 - 692) don't seem appropriate. Should I also code 041.00 - Streptococcus, Unspecified?

I'd appreciate any assistance regarding this.

Thanks.

 

[kmhall]

Dermatitis

I agree with you except I think I would use code 686.8 as it states "Other specified..." And as you noted, I would also use code 041.00 as secondary diagnosis to further explain the condition. Hope this helps.

 

[magnolia1]

When I run this through the 3M system, it takes me to 686.9

 

[wileywoof]

I used 569.49 (perirectal infection) with the code for Strep as a secondary code.