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ICD-10 Guide
ICD-10 CodesL23.2

L23.2

Billable

Allergic contact dermatitis due to cosmetics

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

Code Description

ICD-10 L23.2 is a billable code used to indicate a diagnosis of allergic contact dermatitis due to cosmetics.

Key Diagnostic Point:

L23.2 refers to allergic contact dermatitis due to cosmetics, a condition characterized by an inflammatory skin response resulting from exposure to allergens found in cosmetic products. Clinically, patients may present with erythema, pruritus, and vesicular lesions, typically localized to areas where the cosmetic was applied. The anatomy involved primarily includes the epidermis and dermis, where the immune response is triggered by sensitization to specific allergens. Disease progression can vary; initial exposure may not elicit a reaction, but subsequent exposures can lead to more pronounced symptoms. Diagnostic considerations include a thorough patient history to identify potential allergens, patch testing to confirm sensitivities, and exclusion of other dermatological conditions such as irritant contact dermatitis or atopic dermatitis. Proper identification of the allergen is crucial for effective management and prevention of future episodes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires identification of specific allergens through patient history and possibly patch testing.
  • Treatment complexity: Management may involve avoidance of the offending agent, topical corticosteroids, and antihistamines.
  • Documentation requirements: Detailed documentation of symptoms, exposure history, and treatment response is necessary.
  • Coding specificity: Requires precise coding to differentiate from other dermatitis types.

Audit Risk Factors

  • Common coding errors: Misidentification of dermatitis type or failure to document specific allergens.
  • Documentation gaps: Incomplete patient history or lack of patch test results.
  • Billing challenges: Potential denials if documentation does not clearly support the diagnosis.

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

Allergy and Immunology

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Allergic contact dermatitis due to cosmetics significantly impacts patient quality of life, leading to discomfort and potential social embarrassment. It is prevalent in populations with increased cosmetic use, particularly among women. Understanding this condition is crucial for healthcare providers to improve patient outcomes and reduce healthcare utilization associated with misdiagnosis or inadequate management. Epidemiologically, the rise in cosmetic use correlates with increased cases of contact dermatitis, highlighting the need for awareness and education on allergenic ingredients.

ICD-9 vs ICD-10

Allergic contact dermatitis due to cosmetics significantly impacts patient quality of life, leading to discomfort and potential social embarrassment. It is prevalent in populations with increased cosmetic use, particularly among women. Understanding this condition is crucial for healthcare providers to improve patient outcomes and reduce healthcare utilization associated with misdiagnosis or inadequate management. Epidemiologically, the rise in cosmetic use correlates with increased cases of contact dermatitis, highlighting the need for awareness and education on allergenic ingredients.

Reimbursement & Billing Impact

Reimbursement considerations include verifying the patient's insurance coverage for dermatological services and patch testing. Common denials may occur if the documentation does not sufficiently demonstrate the allergic nature of the dermatitis or if the treatment plan is not clearly outlined. Coding best practices include using the most specific code available and ensuring that all relevant clinical information is included in the medical record.

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 L23.2?

L23.2 specifically covers allergic contact dermatitis resulting from exposure to cosmetic products, including makeup, skincare, and hair care items. It is important to differentiate this from irritant contact dermatitis and other dermatitis types.

When should L23.2 be used instead of related codes?

L23.2 should be used when there is a confirmed allergic reaction to cosmetics, supported by patient history and possibly patch testing. If the dermatitis is due to non-allergic irritants or other substances, different codes should be considered.

What documentation supports L23.2?

Documentation should include a detailed patient history outlining cosmetic use, symptoms experienced, and any previous reactions. Patch test results confirming the allergic response to specific cosmetic ingredients are also critical.