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ICD-10 Guide
ICD-10 CodesL68.1

L68.1

Billable

Acquired hypertrichosis lanuginosa

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 L68.1 is a billable code used to indicate a diagnosis of acquired hypertrichosis lanuginosa.

Key Diagnostic Point:

Acquired hypertrichosis lanuginosa is characterized by the abnormal growth of fine, soft hair (lanugo) on the body, typically in areas where hair is not normally present. This condition can occur in response to various stimuli, including hormonal changes, certain medications, or underlying systemic diseases such as malignancies or metabolic disorders. Clinically, patients may present with a gradual increase in hair density and distribution, often noted on the face, back, and extremities. The condition is not associated with pruritus or discomfort, but it can lead to psychological distress due to cosmetic concerns. The anatomy involved includes hair follicles in the dermis, which may become activated under certain conditions. Disease progression can vary; in some cases, the hypertrichosis may resolve with the removal of the underlying cause, while in others, it may persist. Diagnostic considerations include a thorough patient history, physical examination, and potentially laboratory tests to identify any underlying conditions contributing to the hair growth.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires identification of underlying causes.
  • Treatment complexity: Management may involve addressing the underlying condition or cosmetic interventions.
  • Documentation requirements: Detailed patient history and examination findings are necessary.
  • Coding specificity: Accurate coding requires distinguishing from other forms of hypertrichosis.

Audit Risk Factors

  • Common coding errors: Misclassification with other types of hypertrichosis.
  • Documentation gaps: Incomplete patient history or lack of evidence for underlying conditions.
  • Billing challenges: Potential denials if the underlying cause is not documented.

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Endocrinology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Acquired hypertrichosis lanuginosa can significantly affect patients' quality of life, leading to psychological distress and impacting social interactions. Understanding its epidemiology is crucial, as it may indicate underlying health issues that require attention. The condition's prevalence can vary based on population demographics and associated risk factors, highlighting the importance of awareness among healthcare providers.

ICD-9 vs ICD-10

Acquired hypertrichosis lanuginosa can significantly affect patients' quality of life, leading to psychological distress and impacting social interactions. Understanding its epidemiology is crucial, as it may indicate underlying health issues that require attention. The condition's prevalence can vary based on population demographics and associated risk factors, highlighting the importance of awareness among healthcare providers.

Reimbursement & Billing Impact

Reimbursement may depend on the thoroughness of the documentation, including the rationale for procedures performed, such as hair removal treatments. Common denials may arise from insufficient evidence of medical necessity or lack of detailed patient history. Coders should ensure that all relevant diagnoses are included to support the claims submitted.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for L00-L99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for L00-L99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by L68.1?

L68.1 covers acquired hypertrichosis lanuginosa, which can be associated with conditions such as malignancies, endocrine disorders, and certain medications. It is important to differentiate it from congenital forms of hypertrichosis.

When should L68.1 be used instead of related codes?

L68.1 should be used when the hypertrichosis is acquired due to identifiable factors, as opposed to congenital conditions or other forms of hypertrichosis that do not involve an acquired etiology.

What documentation supports L68.1?

Documentation should include a comprehensive patient history, physical examination findings, and any laboratory results that indicate underlying conditions contributing to the hypertrichosis.