Wiki DX for Verrucous Keratosis

[tomtom2]

I need a second opinion on the ICD-9 for verrucous keratosis. 702.19?

Thanks

 

[lphillips]

I would say 701.8 myself

 

[mbort]

I vote for 702.8

 

[harshila]

i vote for 702.8

 

[elenax]

DX

The encoder directs me to 702.19 but I also agree with the 702.8

 

[dmaec]

I use the 702.19 - it's more specific as to "keratosis" - other / NOS - (and we do know it's a keratosis, verrucous keratosis) as opposed to "other specified dermatoses"...
{that's my opinion on the posted matter}

 

[triplejok]

i would use 702.19 because verrucose is a wartlike w/ raised portions

 

[mbort]

702.19 reads "Other seborrheic keratosis".

Unless the documentation states the verruca is caused /related to the seborrhea, I would go with 702.8 "other specified dermatosis".

 

[dmaec]

verrucous keratosis IS a form of seborrheic keratosis - hence "other/NOS" of seborrheic keratosis.
"Some seborrheic keratoses have a verrucous architecture that can produce a clinical and histologic appearance similar to an aging viral wart."
{but again, just my opinion and based on my experience in coding verrucous keratosis}

 

[tomtom2]

I will go with 702.19. Thank you all that replied

 

[mbort]

Good choice TomTom.

I was WRONG!! DONNA IS CORRECT.

Thanks Donna! I did further research after reading your educational comment.

In an effort to educate myself and others who agreed with the 702.8, Here is a link that I found very informative and helpful for those interested.

http://aad2008.omnibooksonline.com/data/papers/CRS-202-V.pdf

Hopes this helps others as it did me.
Mary

 

[rn4jewel]

Yes, I agree with Donna.. it is definitely a 702.19