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ICD-10 Guide
ICD-10 CodesL58.0

L58.0

Billable

Acute radiodermatitis

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

Code Description

ICD-10 L58.0 is a billable code used to indicate a diagnosis of acute radiodermatitis.

Key Diagnostic Point:

Acute radiodermatitis is an inflammatory skin condition that occurs as a result of exposure to ionizing radiation, commonly seen in patients undergoing radiation therapy for cancer treatment. Clinically, it presents with erythema, edema, and desquamation of the skin, often accompanied by symptoms such as itching and pain. The anatomy involved primarily includes the epidermis and dermis, where radiation-induced damage leads to cellular apoptosis and inflammatory responses. Disease progression typically follows a dose-dependent pattern, with symptoms appearing within days to weeks post-exposure, peaking at around two weeks, and gradually resolving over several weeks. Diagnostic considerations include a thorough patient history of radiation exposure, clinical examination of the affected skin, and ruling out other dermatological conditions that may mimic radiodermatitis. In severe cases, secondary infections may occur, necessitating further evaluation and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires understanding of radiation exposure and its effects on skin.
  • Treatment complexity: May involve topical treatments, systemic medications, and supportive care.
  • Documentation requirements: Detailed records of radiation exposure and clinical findings are essential.
  • Coding specificity: Requires precise coding to differentiate from other dermatitis types.

Audit Risk Factors

  • Common coding errors: Misclassification with other dermatitis codes.
  • Documentation gaps: Incomplete records of radiation therapy or symptoms.
  • Billing challenges: Potential denials due to lack of clear linkage between treatment and diagnosis.

Specialty Focus

Medical Specialties

Oncology

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

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

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

Acute radiodermatitis significantly impacts patient quality of life, leading to discomfort and potential treatment interruptions in cancer care. It is a common side effect of radiation therapy, affecting a substantial proportion of patients undergoing such treatments. Understanding and managing this condition is crucial for improving patient outcomes, reducing healthcare utilization, and enhancing overall quality measures in oncology care. Epidemiologically, the incidence of radiodermatitis correlates with the increasing use of radiation therapy in cancer treatment, highlighting the need for effective preventive and management strategies.

ICD-9 vs ICD-10

Acute radiodermatitis significantly impacts patient quality of life, leading to discomfort and potential treatment interruptions in cancer care. It is a common side effect of radiation therapy, affecting a substantial proportion of patients undergoing such treatments. Understanding and managing this condition is crucial for improving patient outcomes, reducing healthcare utilization, and enhancing overall quality measures in oncology care. Epidemiologically, the incidence of radiodermatitis correlates with the increasing use of radiation therapy in cancer treatment, highlighting the need for effective preventive and management strategies.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis is clearly linked to the treatment provided, as payers may deny claims lacking sufficient documentation. Common denials can arise from misclassification of the condition or inadequate records of the patient's treatment plan. Best practices include maintaining thorough clinical notes, documenting the severity of symptoms, and ensuring that all relevant codes are accurately reported to reflect the patient's condition and treatment.

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 L58.0?

L58.0 specifically covers acute radiodermatitis resulting from ionizing radiation exposure, primarily in patients receiving radiation therapy. It does not include dermatitis from other causes.

When should L58.0 be used instead of related codes?

L58.0 should be used when the dermatitis is directly linked to acute radiation exposure. If the dermatitis is chronic or due to other causes, different codes such as L58.1 or L30.9 may be more appropriate.

What documentation supports L58.0?

Documentation should include a detailed history of radiation exposure, clinical findings of the skin condition, treatment plans, and any relevant imaging or laboratory results that support the diagnosis.