Cholestatic pruritus
ICD-10 L29.81 is a billable code used to indicate a diagnosis of cholestatic pruritus.
Cholestatic pruritus is a skin condition characterized by intense itching (pruritus) associated with cholestasis, a condition where bile flow is impaired. This itching is often localized to the palms and soles but can occur anywhere on the body. The underlying anatomy involved includes the liver, bile ducts, and skin. Cholestatic pruritus is commonly seen in conditions such as primary biliary cholangitis, primary sclerosing cholangitis, and certain drug-induced liver injuries. The disease progression can vary; while some patients may experience intermittent itching, others may have persistent symptoms that significantly impact their quality of life. Diagnostic considerations include a thorough patient history, liver function tests, and imaging studies to assess bile duct patency. Skin examinations may reveal excoriations due to scratching, but the skin may appear normal otherwise. Management often involves addressing the underlying liver condition and may include medications such as bile acid sequestrants or antihistamines to alleviate itching.
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
L29.81 specifically covers pruritus associated with cholestatic liver diseases, such as primary biliary cholangitis and primary sclerosing cholangitis. It may also be relevant in cases of drug-induced cholestasis.
L29.81 should be used when pruritus is specifically linked to cholestasis. If pruritus is due to other causes, such as eczema or allergic reactions, different codes should be selected.
Documentation should include a detailed patient history, results of liver function tests, and any imaging studies performed. Notes on the severity and impact of pruritus on the patient's daily life are also important.
