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ICD-10 Guide
ICD-10 CodesL24.7

L24.7

Billable

Irritant contact dermatitis due to plants, except food

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

Code Description

ICD-10 L24.7 is a billable code used to indicate a diagnosis of irritant contact dermatitis due to plants, except food.

Key Diagnostic Point:

Irritant contact dermatitis due to plants, except food, is a localized inflammatory skin condition resulting from direct contact with certain plants that cause irritation rather than an allergic reaction. Clinically, patients may present with erythema, edema, vesicles, and pruritus at the site of contact. The anatomy involved primarily includes the epidermis and dermis, where the irritant triggers an inflammatory response. Common irritants include plants like nettles and certain types of weeds. Disease progression can vary; initial exposure may lead to mild symptoms, but repeated contact can exacerbate the condition, leading to chronic dermatitis characterized by thickened, scaly skin. Diagnostic considerations include a thorough patient history to identify exposure to potential irritants, physical examination findings, and, if necessary, patch testing to rule out allergic contact dermatitis. Accurate diagnosis is crucial for effective management and prevention of future episodes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from allergic contact dermatitis and other skin conditions.
  • Treatment complexity: Management may involve topical corticosteroids, antihistamines, and avoidance of irritants.
  • Documentation requirements: Detailed documentation of exposure history and clinical findings is essential.
  • Coding specificity: Requires precise coding to differentiate from other dermatitis types.

Audit Risk Factors

  • Common coding errors: Misclassification with allergic contact dermatitis.
  • Documentation gaps: Incomplete history of exposure 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

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

Irritant contact dermatitis due to plants can significantly impact patient quality of life, leading to discomfort and potential work absenteeism. Understanding the epidemiology of this condition helps in identifying at-risk populations, particularly those in agricultural or outdoor occupations. Effective management and prevention strategies can reduce healthcare utilization and improve population health outcomes.

ICD-9 vs ICD-10

Irritant contact dermatitis due to plants can significantly impact patient quality of life, leading to discomfort and potential work absenteeism. Understanding the epidemiology of this condition helps in identifying at-risk populations, particularly those in agricultural or outdoor occupations. Effective management and prevention strategies can reduce healthcare utilization and improve population health outcomes.

Reimbursement & Billing Impact

Reimbursement may depend on the specificity of the diagnosis and the completeness of the documentation. Common denials can occur if the documentation does not clearly establish the relationship between the irritant exposure and the dermatitis. It is essential to include details about the patient's history, the nature of the irritant, and the treatment provided to avoid billing challenges.

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 L24.7?

L24.7 covers irritant contact dermatitis specifically caused by non-food plants, such as nettles and other flora that can cause skin irritation upon contact. It does not include allergic reactions or dermatitis caused by food plants.

When should L24.7 be used instead of related codes?

L24.7 should be used when the dermatitis is specifically due to irritants from plants, as opposed to allergic reactions or other dermatitis types. Accurate history of exposure is crucial for correct code selection.

What documentation supports L24.7?

Documentation should include a detailed patient history of exposure to irritant plants, clinical findings such as the appearance of the rash, and any treatments attempted. Photographic evidence may also be beneficial.