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ICD-10 Guide
ICD-10 CodesL24.1

L24.1

Billable

Irritant contact dermatitis due to oils and greases

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

Code Description

ICD-10 L24.1 is a billable code used to indicate a diagnosis of irritant contact dermatitis due to oils and greases.

Key Diagnostic Point:

Irritant contact dermatitis due to oils and greases is a localized inflammatory skin condition resulting from direct contact with irritants such as oils, greases, and other substances that can disrupt the skin barrier. Clinically, patients may present with erythema, edema, vesicles, and crusting in the affected areas, often accompanied by pruritus or burning sensations. The anatomy involved primarily includes the epidermis and dermis, where the inflammatory response occurs. Disease progression can vary; initial exposure may lead to acute dermatitis, while repeated exposure can result in chronic dermatitis characterized by lichenification and scaling. Diagnostic considerations include a thorough patient history to identify potential irritants, physical examination of the skin, and, if necessary, patch testing to rule out allergic contact dermatitis. It is essential to differentiate irritant contact dermatitis from other skin conditions such as allergic contact dermatitis, atopic dermatitis, or psoriasis for appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires careful history-taking and examination to differentiate from other dermatitis types.
  • Treatment complexity: Management may involve avoidance of irritants, topical corticosteroids, and emollients.
  • Documentation requirements: Detailed documentation of exposure history and clinical findings is necessary.
  • Coding specificity: Requires accurate coding to reflect the specific irritant involved.

Audit Risk Factors

  • Common coding errors: Misclassification of irritant dermatitis as allergic dermatitis.
  • Documentation gaps: Incomplete exposure history or lack of detailed clinical findings.
  • 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

Occupational Medicine

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

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ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Irritant contact dermatitis due to oils and greases significantly impacts clinical practice, particularly in occupational settings where exposure is common. It affects workforce health, leading to increased healthcare utilization and potential work absenteeism. Understanding this condition is crucial for implementing preventive measures and improving quality of care, ultimately enhancing patient outcomes and reducing healthcare costs associated with chronic skin conditions.

ICD-9 vs ICD-10

Irritant contact dermatitis due to oils and greases significantly impacts clinical practice, particularly in occupational settings where exposure is common. It affects workforce health, leading to increased healthcare utilization and potential work absenteeism. Understanding this condition is crucial for implementing preventive measures and improving quality of care, ultimately enhancing patient outcomes and reducing healthcare costs associated with chronic skin conditions.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis is well-supported by clinical findings and that the treatment plan is clearly outlined. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Best practices include maintaining thorough records of patient interactions, treatment responses, and follow-up care to substantiate claims and reduce audit risks.

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 L24.1?

L24.1 specifically covers irritant contact dermatitis caused by substances like oils and greases. It does not include allergic reactions or dermatitis caused by other irritants.

When should L24.1 be used instead of related codes?

L24.1 should be used when the dermatitis is specifically due to irritants like oils and greases, as opposed to allergic reactions or other dermatitis types, which may fall under different codes.

What documentation supports L24.1?

Documentation should include a detailed history of exposure to oils and greases, clinical findings from the physical examination, and any treatments attempted. Patch testing results may also be relevant.