Transient acantholytic dermatosis [Grover]
ICD-10 L11.1 is a billable code used to indicate a diagnosis of transient acantholytic dermatosis [grover].
Transient acantholytic dermatosis, commonly known as Grover's disease, is a benign skin condition characterized by the sudden appearance of itchy, red papules primarily on the trunk and sometimes on the extremities. The condition is thought to be related to heat, sweating, and friction, often occurring in middle-aged men. The lesions are typically transient, resolving spontaneously within weeks to months, but may recur. Histologically, the condition is marked by acantholysis, which is the loss of connections between keratinocytes, leading to the formation of intraepidermal blisters. The epidermis remains intact, and the dermal layer is usually unaffected. Diagnosis is primarily clinical, supported by skin biopsy when necessary to confirm the presence of acantholysis. Differential diagnoses include other blistering disorders such as pemphigus vulgaris and dermatitis herpetiformis. Understanding the clinical presentation and the transient nature of the disease is crucial for accurate diagnosis and management.
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
L11.1 specifically covers transient acantholytic dermatosis, characterized by the presence of itchy papules and acantholysis. It does not cover other blistering disorders such as pemphigus or dermatitis herpetiformis.
L11.1 should be used when the clinical presentation aligns with transient acantholytic dermatosis, particularly when the lesions are transient and self-limiting, differentiating it from more chronic blistering conditions.
Documentation should include a detailed clinical description of the lesions, patient history regarding triggers (such as heat and sweating), and, if performed, results from a skin biopsy confirming acantholysis.
