Apocrine miliaria
ICD-10 L75.2 is a billable code used to indicate a diagnosis of apocrine miliaria.
Apocrine miliaria, also known as heat rash or prickly heat, is a dermatological condition characterized by the obstruction of apocrine sweat glands, leading to the formation of small, itchy papules or vesicles on the skin. It commonly occurs in areas where sweat accumulates, such as the axillae, groin, and under the breasts. The condition is most prevalent in hot, humid environments and can affect individuals of all ages, although it is particularly common in infants and young children. The pathophysiology involves the blockage of sweat ducts, which can become inflamed and lead to the characteristic rash. Diagnosis is primarily clinical, based on the appearance of the rash and the patient's history of heat exposure. Differential diagnoses may include other forms of miliaria, such as miliaria rubra or miliaria crystallina, which require careful evaluation to distinguish based on the depth of sweat duct obstruction. Treatment typically involves cooling the skin, wearing loose clothing, and avoiding excessive heat exposure. In severe cases, topical corticosteroids may be prescribed to reduce inflammation.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
L75.2 specifically covers apocrine miliaria, which is characterized by the obstruction of apocrine sweat glands leading to a rash. It is important to differentiate it from other types of miliaria, such as miliaria rubra and miliaria crystallina, which have different clinical presentations.
L75.2 should be used when the clinical presentation specifically indicates apocrine miliaria, particularly in cases involving the axillary or groin regions. If the rash is due to other types of miliaria, such as L75.1 for miliaria rubra, that code should be selected instead.
Documentation should include a detailed clinical history of the patient's exposure to heat, the appearance of the rash, and any associated symptoms such as itching. Photographic evidence may also be beneficial in supporting the diagnosis.
