Poikiloderma of Civatte
ICD-10 L57.3 is a billable code used to indicate a diagnosis of poikiloderma of civatte.
Poikiloderma of Civatte is a skin condition characterized by a triad of symptoms: erythema, atrophy, and telangiectasia, primarily affecting the neck and upper chest. It is often associated with sun exposure, leading to a mottled appearance of the skin. The condition is more prevalent in women and typically presents in middle-aged individuals. The underlying anatomy involved includes the epidermis and dermis, where damage from ultraviolet (UV) radiation results in vascular changes and loss of collagen. Disease progression can lead to increased pigmentation and further skin atrophy if not managed. Diagnostic considerations include a thorough clinical examination and patient history, focusing on sun exposure and any associated symptoms. Biopsy may be performed to rule out other dermatological conditions, such as lupus erythematosus or other forms of dermatitis. Treatment options often involve sun protection measures, topical retinoids, and laser therapy to improve cosmetic appearance and manage symptoms.
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
L57.3 specifically covers poikiloderma of Civatte, which is characterized by skin changes due to sun exposure, including erythema, atrophy, and telangiectasia. It is important to differentiate it from other forms of poikiloderma and skin disorders.
L57.3 should be used when the clinical presentation aligns with poikiloderma of Civatte, particularly when there is a history of sun exposure and the characteristic skin findings are present. It is essential to differentiate it from other poikilodermas or skin conditions that may present similarly.
Documentation for L57.3 should include a detailed patient history focusing on sun exposure, clinical findings such as the presence of erythema, atrophy, and telangiectasia, and any treatments attempted. Photographic evidence may also be beneficial.
