Actinic keratosis
ICD-10 L57.0 is a billable code used to indicate a diagnosis of actinic keratosis.
Actinic keratosis (AK) is a precancerous skin condition characterized by rough, scaly patches that develop on sun-exposed areas of the skin, such as the face, ears, neck, scalp, and backs of the hands. Clinically, AK presents as erythematous, keratotic lesions that may be tender or itchy. The condition arises from prolonged exposure to ultraviolet (UV) radiation, leading to damage in the epidermis and subsequent abnormal keratinocyte proliferation. Actinic keratosis is considered a significant risk factor for the development of squamous cell carcinoma (SCC), making early diagnosis and management crucial. The disease can progress from benign lesions to malignant forms if left untreated. Diagnostic considerations include a thorough clinical examination, patient history regarding sun exposure, and, in some cases, a biopsy to rule out malignancy. Regular skin examinations and patient education on sun protection are essential components of 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
L57.0 specifically covers actinic keratosis, which includes lesions that are scaly, rough, and often found on sun-exposed skin. It is important to differentiate AK from other skin conditions such as basal cell carcinoma or squamous cell carcinoma.
L57.0 should be used when diagnosing actinic keratosis specifically, particularly when lesions are identified as precancerous. If lesions are confirmed as malignant, codes for skin cancers should be utilized instead.
Documentation should include a detailed description of the lesions, patient history of sun exposure, any previous treatments, and follow-up care plans. Photographic evidence may also support the diagnosis.
