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ICD-10 Guide
ICD-10 CodesL87.8

L87.8

Billable

Other transepidermal elimination disorders

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

Code Description

ICD-10 L87.8 is a billable code used to indicate a diagnosis of other transepidermal elimination disorders.

Key Diagnostic Point:

L87.8 refers to 'Other transepidermal elimination disorders,' which encompasses a range of skin conditions characterized by the abnormal elimination of substances through the epidermis. These disorders can manifest as various dermatological symptoms, including rashes, scaling, and lesions, often resulting from underlying systemic conditions or localized skin issues. The skin, being the largest organ, plays a crucial role in barrier function and immune response. In transepidermal elimination disorders, this function may be compromised, leading to increased permeability and altered skin homeostasis. Disease progression can vary; some conditions may be acute and self-limiting, while others can become chronic, requiring ongoing management. Diagnostic considerations include a thorough patient history, physical examination, and potentially skin biopsies or laboratory tests to rule out other dermatological conditions. Clinicians must differentiate L87.8 from related codes, such as L87.0 (ichthyosis) and L87.1 (acanthosis), to ensure accurate diagnosis and treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from other skin disorders.
  • Treatment complexity: May involve multiple therapeutic approaches depending on the underlying cause.
  • Documentation requirements: Detailed clinical notes are necessary to support the diagnosis.
  • Coding specificity: Requires precise coding to capture the specific nature of the disorder.

Audit Risk Factors

  • Common coding errors: Misclassification with other skin disorders.
  • Documentation gaps: Incomplete patient histories or lack of detailed examination notes.
  • Billing challenges: Potential for denials if documentation does not clearly 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

Internal Medicine

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

The clinical significance of L87.8 lies in its association with various skin disorders that can affect patient quality of life and overall health. Understanding these conditions is crucial for effective management and treatment. Population health impact includes the need for increased awareness and education among healthcare providers to recognize and appropriately code these disorders. Quality measures may focus on timely diagnosis and treatment, while healthcare utilization patterns may reflect the need for dermatological consultations and interventions in managing these complex skin conditions.

ICD-9 vs ICD-10

The clinical significance of L87.8 lies in its association with various skin disorders that can affect patient quality of life and overall health. Understanding these conditions is crucial for effective management and treatment. Population health impact includes the need for increased awareness and education among healthcare providers to recognize and appropriately code these disorders. Quality measures may focus on timely diagnosis and treatment, while healthcare utilization patterns may reflect the need for dermatological consultations and interventions in managing these complex skin conditions.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis aligns with the services provided. Common denials may arise from insufficient documentation or lack of clarity in the medical necessity of the treatment. Coders should ensure that all relevant clinical information is included in the patient's record to support the diagnosis and justify the billing of associated CPT codes.

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 L87.8?

L87.8 includes various transepidermal elimination disorders such as certain forms of dermatitis, psoriasis, and other conditions where abnormal skin barrier function leads to excessive loss or retention of substances through the skin.

When should L87.8 be used instead of related codes?

L87.8 should be used when the specific transepidermal elimination disorder does not fit the criteria for more defined conditions like ichthyosis (L87.0) or acanthosis (L87.1). It is essential to document the unique characteristics of the disorder to justify this code.

What documentation supports L87.8?

Documentation should include a detailed clinical history, physical examination findings, and any diagnostic tests performed. Specific notes on the nature of the skin lesions and their progression are crucial for supporting the use of L87.8.