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ICD-10 Guide
ICD-10 CodesB71.1

B71.1

B71.1: Cutaneous leishmaniasis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 B71.1 is a billable code used to indicate a diagnosis of b71.1: cutaneous leishmaniasis.

Key Diagnostic Point:

Cutaneous leishmaniasis is a parasitic infection caused by protozoa of the genus Leishmania, primarily transmitted through the bite of infected sandflies. This condition is characterized by the development of skin lesions, which can vary from small papules to larger ulcers, often leading to significant morbidity. The lesions typically appear weeks to months after the initial bite and can be painful and disfiguring. Cutaneous leishmaniasis is endemic in many tropical and subtropical regions, including parts of the Middle East, Africa, and South America. Diagnosis is primarily clinical, supported by laboratory tests such as skin biopsy or serological assays. Treatment options include topical therapies, systemic antimonials, and newer agents like miltefosine, depending on the severity and extent of the disease. Understanding the epidemiology, clinical presentation, and treatment options is crucial for effective management and coding of this condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of clinical presentations and severity levels
  • Differentiation from other skin lesions
  • Potential for co-infection with other diseases
  • Variability in treatment protocols based on geographic location

Audit Risk Factors

  • Inadequate documentation of travel history
  • Failure to specify the type of leishmaniasis
  • Misclassification of skin lesions
  • Lack of supporting lab results

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed travel history, exposure risk, and clinical findings.

Common Clinical Scenarios

Patients presenting with skin lesions after travel to endemic areas.

Billing Considerations

Ensure accurate documentation of lesion characteristics and treatment response.

Dermatology

Documentation Requirements

Photographic evidence of lesions, biopsy results, and treatment plans.

Common Clinical Scenarios

Patients with chronic skin ulcers or lesions suspected to be leishmaniasis.

Billing Considerations

Document differential diagnoses to avoid misclassification.

Coding Guidelines

Inclusion Criteria

Use B71.1 When
  • Follow the official ICD
  • CM coding guidelines for infectious diseases, ensuring accurate documentation of the condition's specifics, including the type of leishmaniasis and any associated complications

Exclusion Criteria

Do NOT use B71.1 When
No specific exclusions found.

Related CPT Codes

88305CPT Code

Pathology examination of skin biopsy

Clinical Scenario

Used when a biopsy is performed to confirm diagnosis.

Documentation Requirements

Include pathology report and clinical notes.

Specialty Considerations

Ensure the biopsy site is documented clearly.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of cutaneous leishmaniasis, improving data accuracy and facilitating better tracking of disease prevalence and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of cutaneous leishmaniasis, improving data accuracy and facilitating better tracking of disease prevalence and treatment outcomes.

Reimbursement & Billing Impact

reimbursement and compliance.

Resources

Clinical References

  • •
    CDC - Leishmaniasis

Coding & Billing References

  • •
    CDC - Leishmaniasis

Frequently Asked Questions

What is the primary cause of cutaneous leishmaniasis?

Cutaneous leishmaniasis is primarily caused by protozoan parasites of the genus Leishmania, transmitted through the bite of infected sandflies.

How is cutaneous leishmaniasis diagnosed?

Diagnosis is typically made through clinical evaluation, supported by laboratory tests such as skin biopsy or serological assays.

What are the treatment options for cutaneous leishmaniasis?

Treatment options include topical therapies, systemic antimonials, and newer agents like miltefosine, depending on the severity of the disease.