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ICD-10 Guide
ICD-10 CodesL23.8

L23.8

Non-billable

Allergic contact dermatitis due to other agents

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

Code Description

ICD-10 L23.8 is a used to indicate a diagnosis of allergic contact dermatitis due to other agents.

Key Diagnostic Point:

Allergic contact dermatitis due to other agents is a type of skin inflammation that occurs when the skin comes into contact with a substance that triggers an allergic reaction. Clinically, patients may present with erythema, pruritus, vesicles, and crusting lesions, typically localized to the area of contact. The anatomy involved primarily includes the epidermis and dermis, where the immune response is activated by allergens. Common allergens can include metals (like nickel), fragrances, preservatives, and certain plants. Disease progression can vary; initial exposure may not elicit a reaction, but subsequent exposures can lead to sensitization and more severe reactions. Diagnostic considerations include a thorough patient history, physical examination, and sometimes patch testing to identify specific allergens. It is crucial for healthcare providers to differentiate L23.8 from other dermatitis types, such as irritant contact dermatitis (L24) and atopic dermatitis (L20), to ensure appropriate management and treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

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 significantly impacts population health, as it affects a considerable number of individuals, leading to increased healthcare utilization due to symptoms and treatment needs. Quality measures focus on accurate diagnosis and management, which can improve patient outcomes. Epidemiologically, the prevalence of allergic contact dermatitis is rising, necessitating awareness and education among healthcare providers to ensure timely and effective treatment.

ICD-9 vs ICD-10

Allergic contact dermatitis significantly impacts population health, as it affects a considerable number of individuals, leading to increased healthcare utilization due to symptoms and treatment needs. Quality measures focus on accurate diagnosis and management, which can improve patient outcomes. Epidemiologically, the prevalence of allergic contact dermatitis is rising, necessitating awareness and education among healthcare providers to ensure timely and effective treatment.

Reimbursement & Billing Impact

Reimbursement may be affected by the specificity of the diagnosis and the completeness of the documentation. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Best practices include thorough documentation of the clinical encounter and ensuring that the coding aligns with the services provided.

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 L23.8?

L23.8 covers allergic contact dermatitis caused by various agents not specified in other codes, including reactions to chemicals, cosmetics, and other non-metallic substances. It is essential to identify the specific allergen for accurate diagnosis and treatment.

When should L23.8 be used instead of related codes?

L23.8 should be used when the allergic contact dermatitis is due to agents not classified under other specific codes. If the allergen is known and falls under a specific category (like metals or plants), the corresponding specific code should be used instead.

What documentation supports L23.8?

Documentation should include a detailed patient history, including exposure history, clinical findings, and results from any allergy testing. Clear notes on the patient's symptoms and the suspected allergen are crucial for supporting the use of L23.8.