Disorders of skin appendages

Historical Changes

• •FY 2025: Routine maintenance updates with minor terminology clarifications
• •FY 2024: Enhanced specificity requirements for certain code ranges
• •FY 2023: Updated documentation guidelines for improved clarity

Upcoming Changes

• •Proposed updates pending review by Coordination and Maintenance Committee
• •Under consideration: Enhanced digital health integration codes

Implementation Guidance

• •Review all FY 2026 updates for L60-L75 codes before implementation
• •Always verify the most current codes in the ICD-10-CM manual
• •Ensure clinical documentation supports the selected diagnosis codes
• +3 more guidance items...

Key Usage Points:

• •Always code to the highest level of specificity.
• •Use additional codes to identify any associated underlying conditions.
• •Consider the use of external cause codes to provide additional information.
• •Remember to code first any associated underlying diseases.
• •Use combination codes for conditions with both an underlying etiology and multiple body system manifestations.

When to Use:

• ✓When a patient presents with a nail disorder such as ingrown nail or onycholysis.
• ✓When a patient has a hair disorder like alopecia areata.
• ✓When a patient suffers from acne or rosacea.
• ✓When a patient has a sweat gland disorder like hyperhidrosis.
• ✓When a patient presents with a sebaceous gland disorder like sebaceous cyst.

When NOT to Use:

• ✗When the condition is not related to skin appendages.
• ✗When the condition is a result of an injury or trauma.
• ✗When the condition is a skin infection or infestation.
• ✗When the condition is a skin neoplasm.
• ✗When the condition is a systemic disease with skin manifestations.

Common Documentation Errors:

• ⚠Not documenting the specific diagnosis
• ⚠Not documenting the location and severity of the condition
• ⚠Not documenting associated conditions
• ⚠Not documenting the patient's response to treatment