Chronic radiodermatitis
ICD-10 L58.1 is a billable code used to indicate a diagnosis of chronic radiodermatitis.
Chronic radiodermatitis is a skin condition resulting from prolonged exposure to ionizing radiation, often seen in patients who have undergone radiation therapy for cancer treatment. Clinically, it presents as erythema, dryness, and scaling of the skin, which may progress to fibrosis, atrophy, and ulceration in severe cases. The affected anatomy primarily involves the epidermis and dermis, where radiation-induced damage leads to inflammatory responses and alterations in skin structure. Disease progression can vary based on the dose and duration of radiation exposure, with symptoms potentially worsening over time. Diagnostic considerations include a thorough patient history, physical examination, and possibly a biopsy to rule out other dermatological conditions. The diagnosis is often supported by the timing of symptom onset in relation to radiation exposure and the characteristic appearance of the skin lesions.
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
L58.1 specifically covers chronic radiodermatitis, which is characterized by long-term skin changes due to radiation exposure. This includes symptoms such as persistent erythema, scaling, and potential ulceration in areas previously treated with radiation.
L58.1 should be used when the patient exhibits chronic symptoms of radiodermatitis following radiation therapy, distinguishing it from acute conditions which may be coded under L58.0. The chronicity of symptoms and the history of radiation exposure are key differentiators.
Documentation for L58.1 should include a detailed patient history of radiation exposure, clinical findings of chronic skin changes, and any previous treatments administered. Photographic evidence and biopsy results may also support the diagnosis.
