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ICD-10 Guide
ICD-10 CodesL53.1

L53.1

Billable

Erythema annulare centrifugum

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

Code Description

ICD-10 L53.1 is a billable code used to indicate a diagnosis of erythema annulare centrifugum.

Key Diagnostic Point:

Erythema annulare centrifugum is a benign dermatological condition characterized by annular (ring-shaped) erythematous lesions that typically expand outward from a central point. The lesions may vary in size and can be associated with pruritus or be asymptomatic. The condition is thought to be a hypersensitivity reaction, often triggered by infections, medications, or other irritants. The skin involved primarily includes the epidermis and dermis, where inflammatory processes lead to the characteristic appearance. Disease progression is generally self-limiting, with lesions resolving spontaneously over weeks to months. Diagnostic considerations include a thorough clinical examination and a detailed patient history to identify potential triggers. Skin biopsy may be performed in atypical cases to rule out other dermatological conditions such as granuloma annulare or tinea corporis. Accurate diagnosis is crucial to differentiate L53.1 from other similar skin disorders, ensuring appropriate management and patient reassurance.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from other skin conditions.
  • Treatment complexity: Generally self-limiting; symptomatic treatment may be needed.
  • Documentation requirements: Detailed patient history and clinical findings are essential.
  • Coding specificity: Requires precise coding to capture the specific condition.

Audit Risk Factors

  • Common coding errors: Misclassification with other erythematous conditions.
  • Documentation gaps: Insufficient detail in patient history or clinical findings.
  • Billing challenges: Potential for denials if documentation does not 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

Erythema annulare centrifugum, while generally benign, can impact patient quality of life due to discomfort or cosmetic concerns. Understanding its epidemiology is important, as it may be associated with underlying conditions or triggers that affect broader population health. Awareness of this condition can lead to improved healthcare utilization patterns, as timely diagnosis and reassurance can reduce unnecessary interventions and anxiety among patients.

ICD-9 vs ICD-10

Erythema annulare centrifugum, while generally benign, can impact patient quality of life due to discomfort or cosmetic concerns. Understanding its epidemiology is important, as it may be associated with underlying conditions or triggers that affect broader population health. Awareness of this condition can lead to improved healthcare utilization patterns, as timely diagnosis and reassurance can reduce unnecessary interventions and anxiety among patients.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis is clearly linked to the services provided. Common denials may occur if documentation does not sufficiently detail the clinical findings or if the condition is misclassified. Coders should ensure that all relevant patient history and examination findings are documented to support the medical necessity of the visit and any procedures performed.

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 L53.1?

L53.1 specifically covers erythema annulare centrifugum, which is characterized by ring-shaped erythematous lesions. It is important to differentiate it from similar conditions such as granuloma annulare and tinea corporis.

When should L53.1 be used instead of related codes?

L53.1 should be used when the clinical presentation matches the characteristics of erythema annulare centrifugum, particularly when lesions are annular and self-limiting, as opposed to other erythematous conditions.

What documentation supports L53.1?

Documentation should include a detailed clinical description of the lesions, patient history to identify potential triggers, and any relevant laboratory or biopsy results to rule out other conditions.