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v1.0.0
ICD-10 Guide
DiagnosesLipodermatosclerosis

Lipodermatosclerosis

ICD-10 Coding for Lipodermatosclerosis(I83.10, I87.2)

PRIMARY SPECIALTYDermatology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Lipodermatosclerosis?
Essential facts and insights about Lipodermatosclerosis

Key Clinical Considerations:

  • Induration and thickening of the skin and subcutaneous tissue, typically in the lower legs
  • Ultrasound may show changes in the subcutaneous tissue
  • Physical exam may reveal erythema, edema, and tenderness in affected areas

Clinical Information

Clinical Criteria & Documentation Requirements

  • Document the presence of skin changes, duration of symptoms, and any associated pain
  • Use specific terms like 'lipodermatosclerosis' and 'chronic venous insufficiency'
  • Examples include detailed descriptions of skin texture, color changes, and patient history

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for chronic venous insufficiency coding
  • Common errors include misclassifying as cellulitis or dermatitis

Code Exclusions

Important Exclusions

  • Cellulitis, venous ulcers, and other skin conditions
  • Alternative codes for related venous disorders

Related ICD-10 Codes

Primary Codes
I89.0
Lipodermatosclerosis
Ancillary Codes
L97.2-
Differential Codes
L92.2
I83.10

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Dermatology

Specialty Applications

  • Patients with chronic venous insufficiency, obesity, or diabetes
  • Dermatology and vascular medicine settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include detailed descriptions of symptoms, duration, and physical findings.

Billing considerations?

Ensure accurate coding to reflect the severity and chronicity of the condition.