Bullous impetigo
ICD-10 L01.03 is a billable code used to indicate a diagnosis of bullous impetigo.
Bullous impetigo is a highly contagious skin infection primarily caused by Staphylococcus aureus, characterized by the formation of large, fluid-filled blisters (bullae) on the skin. It typically affects infants and young children but can occur in adults, especially those with compromised immune systems. The lesions often appear on the face, trunk, and extremities, and may rupture, leading to crusting and oozing. The underlying anatomy involved includes the epidermis and superficial dermis, where the bacteria invade and cause localized inflammation. Disease progression can vary, with some cases resolving spontaneously, while others may require antibiotic treatment to prevent complications. Diagnostic considerations include clinical examination and, in some cases, culture of the fluid from the blisters to identify the causative organism. Early diagnosis and treatment are crucial to prevent the spread of infection and to manage symptoms effectively.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
L01.03 specifically covers bullous impetigo, characterized by the presence of large blisters on the skin. It is important to differentiate this from non-bullous impetigo (L01.01), which presents with crusted lesions without bullae.
L01.03 should be used when the clinical presentation includes bullous lesions. If the lesions are crusted but not bullous, L01.01 should be selected. Accurate differentiation is crucial for appropriate treatment and billing.
Documentation should include a thorough clinical examination noting the presence of bullae, any associated symptoms, treatment provided, and follow-up care. Laboratory results confirming Staphylococcus aureus may also support the diagnosis.
