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ICD-10 Guide
ICD-10 CodesL75.1

L75.1

Billable

Chromhidrosis

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

Code Description

ICD-10 L75.1 is a billable code used to indicate a diagnosis of chromhidrosis.

Key Diagnostic Point:

Chromhidrosis is a rare condition characterized by the secretion of colored sweat, typically from apocrine glands located in areas such as the axillae, areolae, and perineum. The condition can manifest as yellow, green, blue, or even black sweat, depending on the chromophores present in the sweat. The clinical presentation often includes discoloration of clothing or skin, which can lead to psychological distress and social embarrassment for affected individuals. The underlying anatomy involved primarily includes the sweat glands, particularly the apocrine glands, which are responsible for the production of this colored sweat. Disease progression can vary; while some patients may experience sporadic episodes, others may have persistent symptoms. Diagnostic considerations include a thorough clinical history, physical examination, and possibly sweat analysis to identify the chromophores. Differential diagnoses may include other causes of discolored sweat, such as certain medications or metabolic disorders.

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Chromhidrosis, while rare, can significantly affect the quality of life for those affected, leading to social anxiety and psychological distress. Understanding its epidemiology is crucial for healthcare providers to recognize and manage the condition effectively. Awareness of chromhidrosis can improve healthcare utilization patterns, as patients may seek dermatological care for symptoms that are often misunderstood or misdiagnosed.

ICD-9 vs ICD-10

Chromhidrosis, while rare, can significantly affect the quality of life for those affected, leading to social anxiety and psychological distress. Understanding its epidemiology is crucial for healthcare providers to recognize and manage the condition effectively. Awareness of chromhidrosis can improve healthcare utilization patterns, as patients may seek dermatological care for symptoms that are often misunderstood or misdiagnosed.

Reimbursement & Billing Impact

impact on their daily life. Reimbursement may be affected by the rarity of the condition, necessitating clear justification for the diagnosis. Common denials may arise from insufficient documentation or lack of clarity in the clinical rationale for testing or treatment. Best practices include thorough documentation of the clinical encounter, including any treatments attempted and their outcomes, to support the medical necessity of the services provided.

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 L75.1?

L75.1 specifically covers chromhidrosis, which is the abnormal secretion of colored sweat. It does not include other forms of hyperhidrosis or sweat gland disorders that do not involve pigmentation.

When should L75.1 be used instead of related codes?

L75.1 should be used when a patient presents with colored sweat specifically due to chromhidrosis. It is important to differentiate it from other sweat disorders, such as L75.0 (Hyperhidrosis), which does not involve pigmentation.

What documentation supports L75.1?

Documentation should include a detailed clinical history of the patient's symptoms, physical examination findings, and any laboratory tests performed to analyze sweat composition. Notes on the impact of the condition on the patient's quality of life are also beneficial.