I have an 88350 with the current diagnosis of L30.8, which is hitting the CCI edit. In reviewing this, we have several different opinions on what diagnosis can be coded.
The documentation, "Direct immunofluorescence studies are performed on frozen sections of skin biopsy using the listed panel of antibodies. There is linear marking for IgG(0-1+) and C3(3+) along the dermal-epidermal junction. No IgM, IgA, or fibrinogen is identified.
These findings support a diagnosis of bullous pemphigoid, although epidermolysis bullosa acquisita (EBA) cannot be completely excluded. Indirect immunofluorescence studies using the patients serum are recommended to confirm the diagnosis."
Thoughts?
Thank you, Meggan