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ICD-10 Guide
ICD-10 CodesL68.3

L68.3

Billable

Polytrichia

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

Code Description

ICD-10 L68.3 is a billable code used to indicate a diagnosis of polytrichia.

Key Diagnostic Point:

Polytrichia, characterized by excessive hair growth in areas where hair is typically sparse, can manifest in various forms, including localized or generalized patterns. This condition primarily affects the skin and subcutaneous tissue, particularly in regions such as the face, arms, and legs. The hair follicles may become more active due to hormonal changes, genetic predisposition, or underlying endocrine disorders. Clinically, patients may present with thick, coarse hair that can lead to cosmetic concerns and psychological distress. Disease progression can vary, with some individuals experiencing stable conditions while others may see an increase in hair density over time. Diagnostic considerations include a thorough patient history, physical examination, and potentially hormonal evaluations to rule out conditions such as polycystic ovary syndrome (PCOS) or other endocrine disorders. A biopsy may be warranted in atypical cases to exclude other dermatological conditions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differential diagnosis to rule out other conditions.
  • Treatment complexity: May involve hormonal therapy or cosmetic procedures.
  • Documentation requirements: Detailed patient history and examination findings are essential.
  • Coding specificity: Requires accurate coding to differentiate from other hair disorders.

Audit Risk Factors

  • Common coding errors: Misclassification with other hair disorders.
  • Documentation gaps: Incomplete patient history or lack of diagnostic tests.
  • Billing challenges: Potential denials if documentation does not support the diagnosis.

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

Endocrinology

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

Polytrichia can significantly impact patients' quality of life, leading to psychological distress and social anxiety. Understanding the epidemiology of this condition is essential, as it may be influenced by genetic factors and hormonal imbalances. Addressing polytrichia can improve patient satisfaction and healthcare utilization by reducing the need for cosmetic interventions and enhancing overall well-being.

ICD-9 vs ICD-10

Polytrichia can significantly impact patients' quality of life, leading to psychological distress and social anxiety. Understanding the epidemiology of this condition is essential, as it may be influenced by genetic factors and hormonal imbalances. Addressing polytrichia can improve patient satisfaction and healthcare utilization by reducing the need for cosmetic interventions and enhancing overall well-being.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the treatment provided, such as hormonal therapy or cosmetic procedures. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Coders should ensure that the diagnosis aligns with the procedures performed and that all relevant clinical information is included in the claim to avoid billing challenges.

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 L68.3?

L68.3 covers conditions related to polytrichia, including localized excessive hair growth and generalized hair growth disorders. It is important to differentiate this from hirsutism and other hair disorders.

When should L68.3 be used instead of related codes?

L68.3 should be used when the primary concern is excessive hair growth without the presence of male-pattern hair growth typically seen in hirsutism. Accurate diagnosis is key to appropriate code selection.

What documentation supports L68.3?

Documentation should include a detailed patient history, physical examination findings, any hormonal evaluations performed, and treatment plans. This ensures that the diagnosis is well-supported and justifies the use of the code.