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ICD-10 Guide
ICD-10 CodesL24.89

L24.89

Billable

Irritant contact dermatitis due to other agents

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

Code Description

ICD-10 L24.89 is a billable code used to indicate a diagnosis of irritant contact dermatitis due to other agents.

Key Diagnostic Point:

Irritant contact dermatitis due to other agents is a localized inflammatory skin condition resulting from direct skin exposure to irritants that are not classified as allergens. Clinically, it presents with symptoms such as erythema, edema, vesiculation, and pruritus, often occurring in areas where the irritant has made contact. The anatomy involved primarily includes the epidermis and dermis, where the inflammatory response is triggered. Disease progression can vary; mild cases may resolve quickly upon removal of the irritant, while chronic exposure can lead to thickened skin and lichenification. Diagnostic considerations include a thorough patient history to identify potential irritants, physical examination findings, and, if necessary, patch testing to rule out allergic contact dermatitis. It is essential to differentiate L24.89 from other dermatitis codes, such as L23 (Allergic contact dermatitis) and L30 (Other dermatitis), to ensure accurate diagnosis and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Common coding errors include misclassifying irritant dermatitis as allergic dermatitis.
  • Documentation gaps may arise if the irritant is not clearly identified.
  • Billing challenges can occur if the treatment plan does not align with the documented irritant exposure.

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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Irritant contact dermatitis significantly impacts population health, particularly among individuals in occupations with high exposure to irritants, such as healthcare and manufacturing. Quality measures include the timely diagnosis and management of dermatitis to prevent chronic conditions. Understanding the epidemiology of irritant contact dermatitis can help healthcare providers implement preventive measures and improve patient outcomes.

ICD-9 vs ICD-10

Irritant contact dermatitis significantly impacts population health, particularly among individuals in occupations with high exposure to irritants, such as healthcare and manufacturing. Quality measures include the timely diagnosis and management of dermatitis to prevent chronic conditions. Understanding the epidemiology of irritant contact dermatitis can help healthcare providers implement preventive measures and improve patient outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis is clearly linked to the treatment provided. Common denials may arise if the documentation does not sufficiently support the diagnosis or if the treatment plan does not align with the documented irritant exposure. Best practices include maintaining thorough records of patient history and treatment responses to facilitate claims processing.

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 L24.89?

L24.89 covers irritant contact dermatitis caused by various non-allergic agents such as soaps, detergents, solvents, and other chemicals. It is characterized by localized skin reactions that do not involve an immune response.

When should L24.89 be used instead of related codes?

L24.89 should be used when the dermatitis is specifically due to irritants rather than allergens. If the patient has a known allergy to a substance, L23 should be used instead.

What documentation supports L24.89?

Documentation should include a detailed history of exposure to irritants, clinical findings from physical examination, and any relevant diagnostic tests that support the diagnosis of irritant contact dermatitis.