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ICD-10 Guide
ICD-10 CodesL50.2

L50.2

Billable

Urticaria due to cold and heat

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

Code Description

ICD-10 L50.2 is a billable code used to indicate a diagnosis of urticaria due to cold and heat.

Key Diagnostic Point:

L50.2 refers to urticaria due to cold and heat, a type of physical urticaria characterized by the development of hives in response to temperature changes. Clinically, patients may present with itchy, raised wheals on the skin that can vary in size and may be accompanied by erythema. The condition typically affects the skin and subcutaneous tissues, primarily in areas exposed to cold or heat stimuli. The pathophysiology involves the release of histamine and other inflammatory mediators from mast cells, leading to vascular permeability and the characteristic wheals. Disease progression can vary; some patients may experience acute episodes that resolve quickly, while others may have chronic symptoms that require ongoing management. Diagnostic considerations include a thorough patient history, physical examination, and possibly provocation tests to confirm sensitivity to temperature changes. It is essential to differentiate L50.2 from other forms of urticaria, such as chronic spontaneous urticaria or urticaria due to other physical stimuli.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

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

Urticaria due to cold and heat can significantly impact patients' quality of life, leading to avoidance of certain environments and activities. Understanding the epidemiology of this condition is crucial, as it affects a diverse population, with varying prevalence based on geographic and climatic factors. Quality measures may include patient-reported outcomes and management effectiveness, influencing healthcare utilization patterns and resource allocation.

ICD-9 vs ICD-10

Urticaria due to cold and heat can significantly impact patients' quality of life, leading to avoidance of certain environments and activities. Understanding the epidemiology of this condition is crucial, as it affects a diverse population, with varying prevalence based on geographic and climatic factors. Quality measures may include patient-reported outcomes and management effectiveness, influencing healthcare utilization patterns and resource allocation.

Reimbursement & Billing Impact

Reimbursement considerations may include the necessity of proving the link between the symptoms and the environmental triggers. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for testing. Best practices include ensuring that all relevant clinical information is included in the medical record and that coding accurately reflects the diagnosis and treatment provided.

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 L50.2?

L50.2 specifically covers urticaria triggered by exposure to cold or heat, including cold urticaria and heat urticaria. These conditions are characterized by the development of hives upon exposure to temperature extremes.

When should L50.2 be used instead of related codes?

L50.2 should be used when the urticaria is specifically induced by cold or heat stimuli. It is important to differentiate this from other types of urticaria, such as L50.1, which does not have a specific trigger.

What documentation supports L50.2?

Documentation should include a detailed patient history indicating the onset of hives in response to cold or heat, results from any provocation tests, and a physical examination noting the characteristics of the wheals.