Irritant contact dermatitis due to cosmetics
ICD-10 L24.3 is a billable code used to indicate a diagnosis of irritant contact dermatitis due to cosmetics.
Irritant contact dermatitis due to cosmetics is a localized inflammatory skin condition resulting from direct exposure to irritating substances found in cosmetic products. Clinically, it presents as erythema, edema, and vesiculation, often accompanied by pruritus. The affected areas typically include the face, neck, and hands, where cosmetic application is common. The pathophysiology involves a non-immunologic reaction where the skin barrier is compromised, leading to inflammation. Disease progression can vary; mild cases may resolve with avoidance of the irritant, while severe cases may require topical corticosteroids or other anti-inflammatory treatments. Diagnostic considerations include a thorough patient history, including product ingredients, and a physical examination to differentiate from allergic contact dermatitis, which is mediated by an immune response. Patch testing may be utilized to confirm irritant versus allergic reactions, ensuring appropriate 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
L24.3 specifically covers irritant contact dermatitis caused by cosmetic products, including makeup, lotions, and hair products. It does not cover allergic reactions or dermatitis caused by non-cosmetic irritants.
L24.3 should be used when the dermatitis is confirmed to be due to irritants in cosmetics, as opposed to L24.0, which is used for allergic reactions. A thorough patient history and examination are crucial for accurate code selection.
Documentation should include a detailed history of cosmetic use, specific products involved, onset and duration of symptoms, and any previous treatments. A physical examination noting the characteristics of the dermatitis is also essential.
