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ICD-10 Guide
ICD-10 CodesL24.2

L24.2

Billable

Irritant contact dermatitis due to solvents

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

Code Description

ICD-10 L24.2 is a billable code used to indicate a diagnosis of irritant contact dermatitis due to solvents.

Key Diagnostic Point:

Irritant contact dermatitis due to solvents is a localized inflammatory skin condition resulting from direct exposure to irritating substances, particularly solvents such as acetone, alcohols, and various industrial chemicals. Clinically, patients may present with symptoms including erythema, edema, vesiculation, and pruritus at the site of contact. The anatomy involved primarily includes the epidermis and dermis, where the irritants disrupt the skin barrier, leading to inflammation. Disease progression can vary; initial exposure may cause mild irritation, but repeated contact can lead to chronic dermatitis characterized by thickened skin and lichenification. Diagnostic considerations include a thorough patient history to identify exposure to solvents, physical examination of the affected area, and, if necessary, patch testing to rule out allergic contact dermatitis. It is important to differentiate L24.2 from other dermatitis codes, such as allergic contact dermatitis (L23) and other irritant dermatitis codes, to ensure accurate coding and treatment.

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 essential.
  • Coding specificity: Requires precise coding to distinguish from other dermatitis codes.

Audit Risk Factors

  • Common coding errors: Misclassification with allergic contact dermatitis codes.
  • Documentation gaps: Insufficient detail on exposure history or treatment response.
  • 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

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

Irritant contact dermatitis due to solvents has significant clinical implications, particularly in occupational settings where exposure is prevalent. It affects workforce health, leading to increased healthcare utilization and potential lost productivity. Understanding the epidemiology of this condition is crucial for developing preventive measures and improving workplace safety standards. Quality measures may include tracking incidence rates and treatment outcomes to enhance patient care.

ICD-9 vs ICD-10

Irritant contact dermatitis due to solvents has significant clinical implications, particularly in occupational settings where exposure is prevalent. It affects workforce health, leading to increased healthcare utilization and potential lost productivity. Understanding the epidemiology of this condition is crucial for developing preventive measures and improving workplace safety standards. Quality measures may include tracking incidence rates and treatment outcomes to enhance patient care.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis is supported by thorough documentation, particularly in cases of chronic dermatitis. Common denials may arise from lack of clarity in the documentation regarding the irritant exposure or insufficient detail in the treatment plan. Best practices include maintaining comprehensive records of patient interactions, treatment responses, and follow-up care to substantiate claims.

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 L24.2?

L24.2 specifically covers irritant contact dermatitis caused by solvents. This includes dermatitis resulting from exposure to industrial solvents, cleaning agents, and other chemical irritants that do not involve an allergic reaction.

When should L24.2 be used instead of related codes?

L24.2 should be used when the dermatitis is specifically due to irritants like solvents, as opposed to allergic reactions (L23) or other irritants like soaps (L24.0). Accurate history of exposure is critical for correct code selection.

What documentation supports L24.2?

Documentation should include a detailed patient history of exposure to solvents, clinical findings such as the location and appearance of the dermatitis, and any treatment provided. Patch testing results may also support the diagnosis.