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ICD-10 Guide
ICD-10 CodesChapter 12: Diseases of the skin and subcutaneous tissueL66

L66

Non-billable

Cicatricial alopecia [scarring hair loss]

Chapter 12:Diseases of the skin and subcutaneous tissue

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 L66 is a used to indicate a diagnosis of cicatricial alopecia [scarring hair loss].

Key Diagnostic Point:

Cicatricial alopecia, also known as scarring hair loss, encompasses a range of conditions that result in the permanent loss of hair due to damage to the hair follicles. This category includes various types of alopecia that are characterized by inflammation and scarring, leading to irreversible hair loss. Conditions such as lichen planopilaris, discoid lupus erythematosus, and follicular occlusion syndrome fall under this category. The clinical significance of cicatricial alopecia lies in its potential to cause not only cosmetic concerns but also psychological distress for affected individuals, making timely diagnosis and management crucial.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying conditions
  • Need for accurate diagnosis
  • Potential for misdiagnosis

Audit Risk Factors

  • Inadequate documentation of diagnosis
  • Misclassification of non-scarring vs. scarring alopecia
  • Failure to capture all relevant clinical details

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 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

The clinical impact of L66 is significant, as it addresses a condition that can affect a patient's quality of life and mental health. Accurate coding and billing practices for cicatricial alopecia can influence healthcare quality measures, as they ensure that patients receive appropriate care and follow-up. Furthermore, understanding the prevalence and treatment of cicatricial alopecia can inform population health strategies and healthcare trends, emphasizing the need for awareness and education among healthcare providers regarding this condition.

ICD-9 vs ICD-10

The clinical impact of L66 is significant, as it addresses a condition that can affect a patient's quality of life and mental health. Accurate coding and billing practices for cicatricial alopecia can influence healthcare quality measures, as they ensure that patients receive appropriate care and follow-up. Furthermore, understanding the prevalence and treatment of cicatricial alopecia can inform population health strategies and healthcare trends, emphasizing the need for awareness and education among healthcare providers regarding this condition.

Reimbursement & Billing Impact

billing practices for cicatricial alopecia can influence healthcare quality measures, as they ensure that patients receive appropriate care and follow-up. Furthermore, understanding the prevalence and treatment of cicatricial alopecia can inform population health strategies and healthcare trends, emphasizing the need for awareness and education among healthcare providers regarding this condition.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for L66

Coding & Billing References

  • •
    Official ICD-10 Guidelines for L66

Frequently Asked Questions

What conditions are included in L66?

L66 includes conditions such as lichen planopilaris, discoid lupus erythematosus, follicular occlusion syndrome, and other forms of scarring alopecia that lead to permanent hair loss.

When should I use L66 codes?

L66 codes should be used when diagnosing patients with scarring alopecia, particularly when there is evidence of follicular damage and inflammation that leads to hair loss.

What documentation is required for L66?

Documentation should include a detailed clinical assessment, evidence of scarring on the scalp, and any relevant laboratory or biopsy results that support the diagnosis of cicatricial alopecia.