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ICD-10 Guide
ICD-10 CodesL64.0

L64.0

Billable

Drug-induced androgenic alopecia

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

Code Description

ICD-10 L64.0 is a billable code used to indicate a diagnosis of drug-induced androgenic alopecia.

Key Diagnostic Point:

Drug-induced androgenic alopecia (L64.0) is a form of hair loss characterized by thinning of hair on the scalp, often resulting from the use of certain medications. This condition primarily affects the hair follicles, leading to a disruption in the normal hair growth cycle. The clinical presentation typically includes gradual thinning of hair, particularly at the crown and temples, which may be accompanied by a decrease in hair density. The anatomy involved includes the hair follicles, which can be adversely affected by drugs such as anticoagulants, anabolic steroids, and certain antidepressants. Disease progression can vary; while some patients may experience a reversible form of hair loss upon discontinuation of the offending agent, others may have persistent changes. Diagnostic considerations include a thorough patient history to identify potential drug exposures, a physical examination of the scalp, and possibly a biopsy to rule out other causes of hair loss. Laboratory tests may also be warranted to assess for underlying conditions contributing to hair loss.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires a detailed patient history and potential laboratory tests.
  • Treatment complexity: Management may involve discontinuation of the drug and possibly the use of topical treatments or hair restoration therapies.
  • Documentation requirements: Comprehensive documentation of the patient's medication history and clinical findings is essential.
  • Coding specificity: Requires precise coding to differentiate from other types of alopecia.

Audit Risk Factors

  • Common coding errors: Misidentification of the cause of alopecia, leading to incorrect coding.
  • Documentation gaps: Incomplete medication history or lack of clinical findings can lead to denials.
  • Billing challenges: Difficulty in establishing causality between drug use and hair loss may complicate reimbursement.

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

Primary Care

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Drug-induced androgenic alopecia has significant clinical implications, affecting patient quality of life and mental health. It is essential for healthcare providers to recognize this condition to ensure appropriate management and support. The prevalence of drug-induced hair loss is increasing with the rise in polypharmacy, particularly among older adults. Understanding this condition can improve healthcare utilization patterns and inform population health strategies aimed at addressing medication-related side effects.

ICD-9 vs ICD-10

Drug-induced androgenic alopecia has significant clinical implications, affecting patient quality of life and mental health. It is essential for healthcare providers to recognize this condition to ensure appropriate management and support. The prevalence of drug-induced hair loss is increasing with the rise in polypharmacy, particularly among older adults. Understanding this condition can improve healthcare utilization patterns and inform population health strategies aimed at addressing medication-related side effects.

Reimbursement & Billing Impact

Reimbursement may be affected by the clarity of the connection between the drug and the hair loss. Common denials may arise from insufficient documentation or failure to establish causality. Best practices include thorough documentation of the patient's history and any treatments attempted, as well as clear communication with payers regarding the nature of the condition and its 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 L64.0?

L64.0 specifically covers hair loss due to drug exposure, including medications like anticoagulants, anabolic steroids, and certain antidepressants. It does not cover other forms of alopecia such as genetic or autoimmune-related hair loss.

When should L64.0 be used instead of related codes?

L64.0 should be used when hair loss is directly linked to drug use, as evidenced by patient history. If hair loss is due to other causes, such as genetic factors or autoimmune disorders, other codes should be selected.

What documentation supports L64.0?

Documentation should include a detailed medication history, clinical examination findings, and any relevant laboratory results that support the diagnosis of drug-induced hair loss.