Seborrhea capitis
ICD-10 L21.0 is a billable code used to indicate a diagnosis of seborrhea capitis.
Seborrhea capitis, commonly known as cradle cap in infants or seborrheic dermatitis in adults, is a chronic inflammatory skin condition characterized by the presence of greasy, yellowish scales on the scalp. It primarily affects areas rich in sebaceous glands, including the scalp, face, and upper body. The condition is thought to be related to an overproduction of sebum and the presence of Malassezia yeast, which can lead to inflammation and scaling. Clinical presentation includes erythematous patches with greasy scales, which may be itchy or asymptomatic. Disease progression can vary; in infants, it often resolves spontaneously within months, while in adults, it may persist or recur, necessitating ongoing management. Diagnostic considerations include clinical examination and, if necessary, a skin scraping to rule out other conditions such as psoriasis or fungal infections. Treatment typically involves medicated shampoos, topical antifungals, and corticosteroids to reduce inflammation and scaling.
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
L21.0 specifically covers seborrhea capitis, which includes cradle cap in infants and seborrheic dermatitis affecting the scalp in adults. It is characterized by greasy, scaly patches and may also involve the face and upper body.
L21.0 should be used when the condition specifically involves the scalp and is characterized by greasy scales. If the condition affects other areas or is unspecified, L21.9 may be more appropriate.
Documentation should include a detailed clinical examination noting the location, appearance, and severity of the lesions, as well as any treatments attempted and patient responses.
