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v1.0.0
ICD-10 Guide
ICD-10 CodesB60.2

B60.2

Scabies

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 B60.2 is a billable code used to indicate a diagnosis of scabies.

Key Diagnostic Point:

Scabies is a highly contagious skin infestation caused by the Sarcoptes scabiei mite. The condition is characterized by intense itching, particularly at night, and a rash that may appear as small red bumps or blisters. Scabies is transmitted through direct skin-to-skin contact, making it common in crowded living conditions, such as nursing homes, daycare centers, and among family members. The mites burrow into the skin, leading to an inflammatory response that results in the characteristic symptoms. Diagnosis is typically made based on clinical presentation and history of exposure, although skin scrapings can confirm the presence of mites or their eggs. Treatment usually involves topical scabicides, such as permethrin cream or oral ivermectin in severe cases. It is essential to treat all close contacts simultaneously to prevent reinfestation. Scabies can also lead to secondary bacterial infections due to scratching, which may complicate the clinical picture and require additional treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating scabies from other skin conditions like eczema or dermatitis.
  • Understanding the various treatment protocols and their documentation.
  • Identifying potential secondary infections that may arise.
  • Recognizing the need for comprehensive patient history to establish exposure.

Audit Risk Factors

  • Inadequate documentation of the diagnosis and treatment plan.
  • Failure to document patient history of exposure.
  • Misclassification of scabies severity or type.
  • Omission of secondary infections in the coding.

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed clinical notes on the presentation, treatment plan, and follow-up.

Common Clinical Scenarios

Diagnosis and treatment of scabies in patients presenting with pruritic rashes.

Billing Considerations

Ensure to document any secondary infections or complications.

Infectious Disease

Documentation Requirements

Comprehensive history of exposure and treatment response.

Common Clinical Scenarios

Management of scabies outbreaks in communal living settings.

Billing Considerations

Documenting the epidemiological context of the infection.

Coding Guidelines

Inclusion Criteria

Use B60.2 When
  • According to ICD
  • 10 guidelines, scabies is classified under parasitic infestations
  • Coders must ensure accurate documentation of the type of scabies and any associated conditions

Exclusion Criteria

Do NOT use B60.2 When
  • Exclusion criteria include conditions that do not involve the scabies mite

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used when a patient presents for evaluation and management of scabies.

Documentation Requirements

Document the history, examination findings, and treatment plan.

Specialty Considerations

Dermatology may require more detailed skin examination notes.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of scabies, improving the ability to track outbreaks and treatment efficacy. It has also increased the need for detailed documentation to support the diagnosis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of scabies, improving the ability to track outbreaks and treatment efficacy. It has also increased the need for detailed documentation to support the diagnosis.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of scabies, improving the ability to track outbreaks and treatment efficacy. It has also increased the need for detailed documentation to support the diagnosis.

Resources

Clinical References

  • •
    CDC Scabies Information

Coding & Billing References

  • •
    CDC Scabies Information

Frequently Asked Questions

What is the primary cause of scabies?

Scabies is primarily caused by the Sarcoptes scabiei mite, which burrows into the skin and causes an allergic reaction leading to itching and rash.