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ICD-10 Guide
ICD-10 CodesL23.1

L23.1

Billable

Allergic contact dermatitis due to adhesives

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

Code Description

ICD-10 L23.1 is a billable code used to indicate a diagnosis of allergic contact dermatitis due to adhesives.

Key Diagnostic Point:

Allergic contact dermatitis due to adhesives is a localized skin reaction that occurs when the skin comes into contact with certain adhesive substances, leading to an immune response. Clinically, patients may present with erythema, pruritus, swelling, and vesicular lesions at the site of exposure. The anatomy involved primarily includes the epidermis and dermis, where the inflammatory response manifests. Disease progression can vary; initial exposure may cause mild symptoms, but repeated contact can lead to more severe reactions. Diagnostic considerations include a thorough patient history to identify potential allergens, patch testing to confirm sensitivity, and exclusion of other dermatological conditions such as irritant contact dermatitis or atopic dermatitis. Accurate diagnosis is crucial for effective management and prevention of future episodes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires identification of specific allergens and differentiation from other dermatitis types.
  • Treatment complexity: May involve avoidance strategies, topical corticosteroids, and antihistamines.
  • Documentation requirements: Detailed patient history and clinical findings must be documented.
  • Coding specificity: Requires precise coding to differentiate from other dermatitis types.

Audit Risk Factors

  • Common coding errors: Misclassification with other dermatitis codes.
  • Documentation gaps: Incomplete patient history or lack of patch test results.
  • Billing challenges: Denials may occur if documentation does not 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

Allergy and Immunology

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

Allergic contact dermatitis due to adhesives can significantly impact patient quality of life, leading to discomfort and potential work absenteeism. It is essential for population health as it highlights the need for awareness of allergens in everyday products. Quality measures may include tracking the incidence of dermatitis cases and ensuring appropriate management strategies are in place. Understanding healthcare utilization patterns can help in developing preventive measures and educating patients about avoiding known allergens.

ICD-9 vs ICD-10

Allergic contact dermatitis due to adhesives can significantly impact patient quality of life, leading to discomfort and potential work absenteeism. It is essential for population health as it highlights the need for awareness of allergens in everyday products. Quality measures may include tracking the incidence of dermatitis cases and ensuring appropriate management strategies are in place. Understanding healthcare utilization patterns can help in developing preventive measures and educating patients about avoiding known allergens.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis is clearly supported by the documentation to avoid denials. Common denials may arise from insufficient documentation or misclassification of the condition. Best practices include using specific codes, maintaining thorough records, and ensuring that all relevant clinical information is included in the claim to facilitate smooth processing.

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 L23.1?

L23.1 specifically covers allergic contact dermatitis resulting from exposure to adhesives, including medical adhesives, tape, and other bonding agents. It is characterized by an allergic reaction that can lead to localized inflammation and skin lesions.

When should L23.1 be used instead of related codes?

L23.1 should be used when the dermatitis is specifically due to adhesives. If the dermatitis is caused by other allergens or irritants, such as plants or chemicals, other codes like L23.0 or L24.9 should be considered.

What documentation supports L23.1?

Documentation should include a detailed patient history indicating exposure to adhesives, clinical findings such as the appearance of the rash, and results from patch testing confirming the allergic response.