Other seborrheic dermatitis
ICD-10 L21.8 is a billable code used to indicate a diagnosis of other seborrheic dermatitis.
L21.8 refers to 'Other seborrheic dermatitis,' a chronic inflammatory skin condition characterized by red, flaky, and greasy patches on the skin. It primarily affects areas rich in sebaceous glands, such as the scalp, face, and upper body. Clinically, patients may present with symptoms including itching, burning, and discomfort, often exacerbated by stress, hormonal changes, or environmental factors. The disease can progress from mild dandruff to more severe forms, leading to significant cosmetic concerns and potential secondary infections. Diagnosis is typically clinical, based on the characteristic appearance of the lesions and patient history. Differential diagnoses include psoriasis, eczema, and fungal infections, which must be ruled out through careful examination and, if necessary, skin scraping or biopsy. Treatment options range from topical antifungals and corticosteroids to medicated shampoos, with the choice depending on severity and patient response. Regular follow-up is essential to manage flare-ups and adjust treatment as needed.
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
L21.8 covers various forms of seborrheic dermatitis that do not fit into the more specific categories, including atypical presentations that may occur in different body areas or in conjunction with other skin conditions.
L21.8 should be used when the seborrheic dermatitis is not localized to the scalp or face, or when the presentation is atypical and does not meet the criteria for L21.0 or L21.1.
Documentation should include a thorough clinical examination, patient history detailing symptom onset and exacerbating factors, and treatment response. Photographic evidence may also support the diagnosis.
