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v1.0.0
ICD-10 Guide
ICD-10 CodesL74.8

L74.8

Billable

Other eccrine sweat disorders

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

Code Description

ICD-10 L74.8 is a billable code used to indicate a diagnosis of other eccrine sweat disorders.

Key Diagnostic Point:

L74.8 refers to 'Other eccrine sweat disorders,' which encompasses a variety of conditions affecting the eccrine sweat glands, responsible for thermoregulation and maintaining skin hydration. Clinical presentations may include hyperhidrosis (excessive sweating), hypohidrosis (reduced sweating), and other dysfunctions that may not fit into more specific categories. The eccrine glands are distributed throughout the skin, particularly on the palms, soles, and forehead. Disease progression can vary; for instance, hyperhidrosis may lead to skin maceration, secondary infections, or psychosocial issues due to embarrassment. Diagnostic considerations include a thorough patient history, physical examination, and potentially sweat tests to assess gland function. Differential diagnoses may involve conditions like hyperthyroidism or anxiety disorders, which can also cause sweating abnormalities. Understanding the underlying causes is crucial for effective management and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

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

Eccrine sweat disorders can significantly affect patients' quality of life, leading to social anxiety and decreased productivity. Understanding the prevalence and management of these conditions is crucial for improving population health outcomes. Effective coding and documentation can enhance healthcare utilization patterns, ensuring that patients receive appropriate care and resources.

ICD-9 vs ICD-10

Eccrine sweat disorders can significantly affect patients' quality of life, leading to social anxiety and decreased productivity. Understanding the prevalence and management of these conditions is crucial for improving population health outcomes. Effective coding and documentation can enhance healthcare utilization patterns, ensuring that patients receive appropriate care and resources.

Reimbursement & Billing Impact

Reimbursement may vary based on the complexity of the case and the treatment provided. Common denials can occur if documentation does not adequately justify the diagnosis or if there are inconsistencies in the coding. Best practices include thorough documentation of clinical findings, treatment plans, and patient responses to therapy.

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 L74.8?

L74.8 covers various eccrine sweat disorders not classified elsewhere, including atypical presentations of hyperhidrosis and hypohidrosis, as well as conditions like eccrine poroma and other eccrine gland neoplasms.

When should L74.8 be used instead of related codes?

L74.8 should be used when the patient's condition does not fit the criteria for more specific codes like L74.0 or L74.1, particularly when the sweating disorder is atypical or multifactorial.

What documentation supports L74.8?

Documentation should include a detailed patient history, clinical findings, results of any sweat tests, and notes on the impact of the disorder on the patient's quality of life.