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ICD-10 Guide
ICD-10 CodesL73.1

L73.1

Billable

Pseudofolliculitis barbae

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

Code Description

ICD-10 L73.1 is a billable code used to indicate a diagnosis of pseudofolliculitis barbae.

Key Diagnostic Point:

Pseudofolliculitis barbae is a common inflammatory skin condition characterized by the presence of papules and pustules that occur primarily in areas where hair is shaved, particularly in individuals with curly hair. The condition arises when hair follicles become inflamed due to ingrown hairs, leading to irritation and secondary bacterial infections. Clinically, patients present with itchy, painful bumps that can resemble acne or folliculitis. The condition predominantly affects the beard area in men but can also occur in women in areas such as the legs or bikini line. The underlying anatomy involves the hair follicles and surrounding dermal tissue, where inflammation can lead to scarring if left untreated. Disease progression can vary, with some individuals experiencing chronic symptoms that may require ongoing management. Diagnostic considerations include a thorough clinical examination and patient history, often ruling out other conditions such as true folliculitis or acne. A diagnosis of pseudofolliculitis barbae is typically made based on clinical presentation and patient history, particularly in individuals with a history of shaving and curly hair.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from other skin conditions.
  • Treatment complexity: May involve topical treatments, laser therapy, or changes in shaving techniques.
  • Documentation requirements: Detailed patient history and clinical findings are essential.
  • Coding specificity: Requires accurate coding to reflect the specific condition.

Audit Risk Factors

  • Common coding errors: Misclassification with other follicular conditions.
  • Documentation gaps: Incomplete patient history or treatment notes.
  • 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

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

Pseudofolliculitis barbae has significant clinical implications, particularly among individuals with curly hair who shave regularly. It can lead to discomfort, secondary infections, and decreased quality of life. Understanding this condition is crucial for improving patient outcomes and reducing healthcare utilization, as effective management can prevent complications and the need for more invasive treatments.

ICD-9 vs ICD-10

Pseudofolliculitis barbae has significant clinical implications, particularly among individuals with curly hair who shave regularly. It can lead to discomfort, secondary infections, and decreased quality of life. Understanding this condition is crucial for improving patient outcomes and reducing healthcare utilization, as effective management can prevent complications and the need for more invasive treatments.

Reimbursement & Billing Impact

Reimbursement considerations include the need for clear evidence of the condition and any treatments provided. Common denials may occur if the documentation does not adequately support the diagnosis or if the treatment is not deemed medically necessary. Best practices include ensuring that all clinical notes are thorough and that any procedures performed are clearly linked to the diagnosis of L73.1.

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 L73.1?

L73.1 specifically covers pseudofolliculitis barbae, which is characterized by inflammatory papules and pustules resulting from ingrown hairs, primarily in shaved areas. It is important to differentiate it from other follicular conditions such as acne vulgaris or true folliculitis.

When should L73.1 be used instead of related codes?

L73.1 should be used when the clinical presentation is consistent with pseudofolliculitis barbae, particularly in patients with a history of shaving and curly hair. It is essential to document the specific characteristics of the lesions and the patient's shaving habits to support the use of this code.

What documentation supports L73.1?

Documentation should include a detailed patient history, including shaving practices, clinical examination findings, and any treatments attempted. Photographic evidence may also be beneficial in supporting the diagnosis.