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ICD-10 Guide
ICD-10 CodesL74.4

L74.4

Billable

Anhidrosis

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

Code Description

ICD-10 L74.4 is a billable code used to indicate a diagnosis of anhidrosis.

Key Diagnostic Point:

Anhidrosis, or the inability to sweat normally, can lead to significant clinical concerns, particularly in regulating body temperature. It may arise from various underlying conditions affecting the sweat glands, including genetic disorders, neurological diseases, or skin conditions that damage the sweat glands. Clinically, patients may present with symptoms such as overheating, dry skin, and heat intolerance, particularly in hot environments or during physical exertion. The anatomy involved primarily includes the eccrine and apocrine sweat glands, which are distributed throughout the skin. Disease progression can vary; in some cases, anhidrosis may be localized, affecting only specific areas of the body, while in others, it may be generalized. Diagnostic considerations include a thorough patient history, physical examination, and potentially sweat tests to assess gland function. It is crucial to differentiate anhidrosis from other conditions that may cause similar symptoms, such as dehydration or hyperhidrosis, to ensure appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors include misclassification with hyperhidrosis codes.
  • Documentation gaps may arise if the underlying cause of anhidrosis is not clearly identified.
  • Billing challenges can occur if the clinical necessity for treatment is not well 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

Neurology

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

Anhidrosis can significantly impact patient quality of life, leading to heat intolerance and increased risk of heat-related illnesses. Understanding its prevalence and implications is crucial for population health, as it may affect individuals with underlying neurological or dermatological conditions. Quality measures may include monitoring patient education on heat safety and the management of symptoms. Epidemiologically, awareness of anhidrosis can guide healthcare utilization patterns, particularly in warmer climates or among populations with higher incidences of related conditions.

ICD-9 vs ICD-10

Anhidrosis can significantly impact patient quality of life, leading to heat intolerance and increased risk of heat-related illnesses. Understanding its prevalence and implications is crucial for population health, as it may affect individuals with underlying neurological or dermatological conditions. Quality measures may include monitoring patient education on heat safety and the management of symptoms. Epidemiologically, awareness of anhidrosis can guide healthcare utilization patterns, particularly in warmer climates or among populations with higher incidences of related conditions.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity of demonstrating how the condition affects the patient's daily life and any associated risks, such as heat-related illnesses. Common denials may arise if documentation does not clearly establish the medical necessity for treatment or if the diagnosis is not supported by adequate clinical evidence. Coding best practices recommend using L74.4 in conjunction with any underlying conditions to ensure comprehensive billing.

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 L74.4?

L74.4 covers anhidrosis due to various causes, including genetic conditions like ectodermal dysplasia, neurological disorders such as multiple sclerosis, and skin conditions that damage sweat glands, like psoriasis or scleroderma.

When should L74.4 be used instead of related codes?

L74.4 should be used when the patient exhibits a clear inability to sweat, confirmed through clinical evaluation, and when other causes of sweating abnormalities have been ruled out.

What documentation supports L74.4?

Documentation should include a detailed patient history, physical examination findings, results from sweat tests, and any relevant imaging or laboratory studies that support the diagnosis of anhidrosis.