Irritant contact dermatitis due to metals
ICD-10 L24.81 is a billable code used to indicate a diagnosis of irritant contact dermatitis due to metals.
Irritant contact dermatitis due to metals is a localized inflammatory skin condition resulting from direct contact with metal substances, such as nickel, cobalt, or chromium. Clinically, it presents with symptoms including erythema, pruritus, vesiculation, and scaling, typically occurring at the site of exposure. The anatomy involved primarily includes the epidermis and dermis, where the inflammatory response is triggered by the irritant. Disease progression can vary; initial exposure may lead to acute dermatitis, while repeated exposure can result in chronic dermatitis characterized by lichenification and thickened skin. Diagnostic considerations include a thorough patient history to identify potential metal exposure, physical examination of the affected area, and, if necessary, patch testing to confirm the specific metal allergen. It is crucial to differentiate irritant contact dermatitis from allergic contact dermatitis, as the management and preventive strategies differ significantly.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
L24.81 specifically covers irritant contact dermatitis caused by metals. This includes conditions resulting from exposure to metals like nickel, cobalt, and chromium, leading to localized skin inflammation.
L24.81 should be used when the dermatitis is specifically due to irritants from metals, as opposed to allergic reactions or other irritants. Accurate history and clinical findings are essential for differentiation.
Documentation should include a detailed patient history of metal exposure, clinical examination findings, and any relevant patch test results confirming the diagnosis of irritant contact dermatitis due to metals.
