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ICD-10 Guide
ICD-10 CodesL23.5

L23.5

Billable

Allergic contact dermatitis due to other chemical products

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

Code Description

ICD-10 L23.5 is a billable code used to indicate a diagnosis of allergic contact dermatitis due to other chemical products.

Key Diagnostic Point:

Allergic contact dermatitis due to other chemical products is a type of skin inflammation that occurs when the skin comes into contact with specific chemicals that provoke an allergic reaction. Clinically, patients may present with erythema, pruritus, vesicles, and in severe cases, weeping lesions. The anatomy involved primarily includes the epidermis and dermis, where the immune response is triggered by allergens. Disease progression can vary; initial exposure may not elicit a reaction, but subsequent exposures often lead to sensitization and more pronounced symptoms. Diagnostic considerations include a thorough patient history, identifying potential allergens, and possibly conducting patch testing to confirm the specific chemical responsible for the dermatitis. It is crucial to differentiate L23.5 from other dermatitis codes, such as irritant contact dermatitis (L24) and other allergic dermatitis codes (L23.0-L23.4), to ensure accurate diagnosis and treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires identification of specific allergens and may involve patch testing.
  • Treatment complexity: Management may include avoidance of allergens, topical corticosteroids, and antihistamines.
  • Documentation requirements: Detailed patient history and evidence of exposure are necessary.
  • Coding specificity: Requires precise coding to differentiate from other dermatitis types.

Audit Risk Factors

  • Common coding errors: Misidentifying the type of dermatitis or failing to specify the allergen.
  • Documentation gaps: Incomplete patient history or lack of evidence for the allergic reaction.
  • Billing challenges: Denials may occur 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 chemical products significantly impacts population health, as it can lead to chronic skin conditions and decreased quality of life. It is essential for healthcare providers to recognize and manage this condition effectively to reduce healthcare utilization and improve patient outcomes. Epidemiologically, the prevalence of allergic contact dermatitis is rising, particularly in occupational settings, highlighting the need for preventive measures and education regarding chemical exposures.

ICD-9 vs ICD-10

Allergic contact dermatitis due to chemical products significantly impacts population health, as it can lead to chronic skin conditions and decreased quality of life. It is essential for healthcare providers to recognize and manage this condition effectively to reduce healthcare utilization and improve patient outcomes. Epidemiologically, the prevalence of allergic contact dermatitis is rising, particularly in occupational settings, highlighting the need for preventive measures and education regarding chemical exposures.

Reimbursement & Billing Impact

Reimbursement considerations may vary by payer, so it is essential to verify coverage policies. Common denials can occur if documentation does not adequately support the diagnosis or if the code is not specific enough. 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 L23.5?

L23.5 covers allergic contact dermatitis caused by various chemical products, including but not limited to fragrances, preservatives, and industrial chemicals. Diagnostic criteria include a history of exposure and clinical symptoms consistent with allergic dermatitis.

When should L23.5 be used instead of related codes?

L23.5 should be used when the dermatitis is specifically due to an allergic reaction from chemical products, as opposed to irritant contact dermatitis (L24) or other allergic dermatitis codes, which may not specify the chemical trigger.

What documentation supports L23.5?

Documentation should include a detailed patient history of exposure to chemical products, clinical findings, and results from any allergy testing, such as patch tests, to substantiate the diagnosis.