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ICD-10 Guide
ICD-10 CodesL70.3

L70.3

Billable

Acne tropica

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

Code Description

ICD-10 L70.3 is a billable code used to indicate a diagnosis of acne tropica.

Key Diagnostic Point:

Acne tropica, also known as tropical acne, is a variant of acne vulgaris that primarily affects individuals living in tropical climates. It is characterized by the presence of papules, pustules, and sometimes cysts, typically on the face, chest, and back. The condition is often exacerbated by high humidity and heat, which can lead to increased sweating and sebaceous gland activity. The pathophysiology involves the obstruction of hair follicles by keratin and sebum, creating an environment conducive to the proliferation of Cutibacterium acnes, a bacterium implicated in acne development. Clinically, patients may present with inflammatory lesions, post-inflammatory hyperpigmentation, and scarring. Diagnosis is primarily clinical, based on the appearance of lesions and patient history, although differential diagnoses such as folliculitis or other skin infections should be considered. Treatment typically includes topical retinoids, benzoyl peroxide, and in some cases, systemic antibiotics or hormonal therapies, depending on the severity of the condition. Regular follow-up is essential to monitor treatment efficacy and adjust as necessary.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Moderate, as it requires differentiation from other skin conditions.
  • Treatment complexity: Moderate, due to the need for individualized treatment plans.
  • Documentation requirements: Moderate, necessitating detailed clinical notes and treatment history.
  • Coding specificity: High, as it specifically identifies a subtype of acne.

Audit Risk Factors

  • Common coding errors: Misclassification of acne types.
  • Documentation gaps: Incomplete patient history or treatment documentation.
  • Billing challenges: Potential denials due to lack of specificity in documentation.

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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Acne tropica can significantly affect the quality of life for individuals in tropical regions, leading to psychological distress and social stigma. Understanding its epidemiology is crucial for public health initiatives aimed at improving skin health in affected populations. Effective management can reduce healthcare utilization and improve overall patient outcomes, making it an important focus for dermatological care.

ICD-9 vs ICD-10

Acne tropica can significantly affect the quality of life for individuals in tropical regions, leading to psychological distress and social stigma. Understanding its epidemiology is crucial for public health initiatives aimed at improving skin health in affected populations. Effective management can reduce healthcare utilization and improve overall patient outcomes, making it an important focus for dermatological care.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis is clearly linked to the services provided. Common denials may arise from insufficient documentation or lack of specificity in the diagnosis. Best practices include maintaining thorough records of patient visits, treatment adjustments, and follow-up care to support claims and reduce the risk of audits.

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 L70.3?

L70.3 specifically covers acne tropica, which is characterized by inflammatory lesions in tropical climates. It does not include other forms of acne vulgaris or skin infections.

When should L70.3 be used instead of related codes?

L70.3 should be used when the patient presents with acne symptoms specifically linked to tropical environments, differentiating it from other acne types that may not have the same environmental triggers.

What documentation supports L70.3?

Documentation should include a detailed clinical examination, patient history indicating exposure to tropical climates, treatment history, and any previous diagnoses of acne or related skin conditions.