Other prurigo
ICD-10 L28.2 is a billable code used to indicate a diagnosis of other prurigo.
L28.2 refers to 'Other prurigo,' a term used to describe a group of skin conditions characterized by intense itching (pruritus) and the presence of papules or nodules. These lesions typically arise from chronic scratching or rubbing of the skin, leading to lichenification and secondary skin changes. The condition can affect any area of the body but is most commonly seen on the arms, legs, and trunk. The pathophysiology involves a complex interplay of neurogenic inflammation and immune response, often exacerbated by environmental factors such as allergens or irritants. Diagnosis is primarily clinical, based on the appearance of the lesions and patient history, but may require skin biopsy or allergy testing to rule out other conditions. Disease progression can vary; some patients may experience intermittent episodes, while others may have persistent symptoms requiring ongoing management. Treatment options include topical corticosteroids, antihistamines, and lifestyle modifications to reduce scratching behavior. Understanding the underlying causes and triggers is essential for effective 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
L28.2 encompasses various forms of prurigo that do not fit into more specific categories, including prurigo caused by insect bites, allergic reactions, or chronic skin conditions. It is essential to document the underlying cause to support the diagnosis.
L28.2 should be used when the pruritic condition does not meet the criteria for more specific prurigo codes. It is crucial to differentiate based on the clinical presentation and history of the patient.
Documentation should include a detailed history of the pruritic condition, physical examination findings, and any relevant diagnostic tests performed. Notes on treatment responses and patient education regarding skin care are also beneficial.
