Chronic bullous disease of childhood
ICD-10 L12.2 is a billable code used to indicate a diagnosis of chronic bullous disease of childhood.
Chronic bullous disease of childhood is a rare autoimmune blistering disorder primarily affecting infants and young children. Clinically, it is characterized by the presence of tense blisters on the skin, which may be filled with clear or serous fluid. These blisters typically arise on areas subject to friction, such as the trunk, extremities, and mucous membranes. The underlying pathology involves the formation of autoantibodies against specific components of the skin, leading to a disruption in the adhesion of the epidermis to the dermis. Disease progression can vary, with some patients experiencing spontaneous resolution while others may have recurrent episodes. Diagnosis is often confirmed through skin biopsy and immunofluorescence studies, which reveal the presence of autoantibodies. Clinicians must consider differential diagnoses, including other blistering disorders such as epidermolysis bullosa and pemphigus vulgaris, to ensure accurate diagnosis and management.
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
L12.2 specifically covers chronic bullous disease of childhood, which includes conditions characterized by the formation of blisters due to autoimmune mechanisms. It is essential to differentiate this from other bullous diseases that may have different etiologies.
L12.2 should be used when the condition is chronic and characterized by recurrent blistering episodes. It is important to differentiate it from acute forms of bullous disease, which may require different management strategies.
Documentation should include clinical findings of blister formation, biopsy results confirming the diagnosis, and any treatment plans. Detailed notes on the patient's history and the chronic nature of the disease are crucial for supporting the use of this code.
