Cutis rhomboidalis nuchae
ICD-10 L57.2 is a billable code used to indicate a diagnosis of cutis rhomboidalis nuchae.
Cutis rhomboidalis nuchae is a dermatological condition characterized by a distinctive rhomboid pattern of thickened skin on the nuchal area, which is the back of the neck. This condition typically arises due to chronic sun exposure and is often seen in individuals with prolonged outdoor activities. The skin in this area becomes leathery and may exhibit a rough texture, with potential for associated pruritus or discomfort. The underlying anatomy involved includes the epidermis and dermis, where collagen and elastin fibers become disorganized due to photodamage. Disease progression can lead to further skin changes, including potential precancerous lesions if sun exposure continues. Diagnostic considerations include a thorough clinical examination and, if necessary, a biopsy to rule out other skin conditions such as actinic keratosis or squamous cell carcinoma. Patients may also present with a history of sun exposure, making it crucial to assess their lifestyle and occupational sun exposure history.
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
L57.2 specifically covers cutis rhomboidalis nuchae, which is primarily associated with chronic sun exposure leading to thickened skin in a rhomboid pattern. It is important to differentiate this from other conditions like actinic keratosis or skin cancer.
L57.2 should be used when the clinical presentation specifically matches cutis rhomboidalis nuchae, particularly when there is a history of sun exposure and characteristic skin changes. It is important to avoid using this code for general skin thickening or other non-specific skin conditions.
Documentation should include a detailed patient history focusing on sun exposure, a thorough physical examination noting the characteristic rhomboid pattern, and any relevant diagnostic tests such as skin biopsies if needed to rule out malignancy.
