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v1.0.0
ICD-10 Guide
ICD-10 CodesL57.4

L57.4

Billable

Cutis laxa senilis

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

Code Description

ICD-10 L57.4 is a billable code used to indicate a diagnosis of cutis laxa senilis.

Key Diagnostic Point:

Cutis laxa senilis is a rare dermatological condition characterized by the loss of skin elasticity, leading to sagging and wrinkling of the skin, particularly in elderly individuals. This condition primarily affects the dermis, where the structural proteins elastin and collagen are compromised, resulting in reduced skin turgor and resilience. Clinically, patients may present with loose, inelastic skin that can appear prematurely aged, often localized to areas such as the face, neck, and upper arms. The disease progression is gradual, typically correlating with aging, and may be exacerbated by environmental factors such as sun exposure. Diagnostic considerations include a thorough clinical examination, patient history, and potentially a skin biopsy to rule out other connective tissue disorders. It is essential to differentiate cutis laxa senilis from other forms of cutis laxa, which may have genetic or systemic causes, to ensure appropriate management and treatment strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

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

Geriatrics

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Cutis laxa senilis has clinical significance as it affects the quality of life in elderly populations, impacting their self-esteem and social interactions. Understanding this condition is crucial for improving population health outcomes, as it can lead to increased healthcare utilization due to associated skin issues. Epidemiologically, the prevalence of cutis laxa senilis is expected to rise with the aging population, necessitating awareness and appropriate management strategies among healthcare providers.

ICD-9 vs ICD-10

Cutis laxa senilis has clinical significance as it affects the quality of life in elderly populations, impacting their self-esteem and social interactions. Understanding this condition is crucial for improving population health outcomes, as it can lead to increased healthcare utilization due to associated skin issues. Epidemiologically, the prevalence of cutis laxa senilis is expected to rise with the aging population, necessitating awareness and appropriate management strategies among healthcare providers.

Reimbursement & Billing Impact

Reimbursement considerations include verifying the patient's insurance coverage for dermatological conditions and ensuring that all necessary clinical documentation is submitted to justify the diagnosis. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Best practices include maintaining clear records of patient assessments, treatment plans, and follow-up care to facilitate smooth billing processes.

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 L57.4?

L57.4 specifically covers cutis laxa senilis, which is associated with aging and characterized by skin laxity. It does not include other forms of cutis laxa that may have genetic origins or systemic involvement.

When should L57.4 be used instead of related codes?

L57.4 should be used when the condition is specifically due to senile changes in the skin. If the cutis laxa is due to genetic factors or other underlying conditions, other related codes should be considered.

What documentation supports L57.4?

Documentation should include a detailed patient history, clinical examination findings, and any relevant diagnostic tests that confirm the diagnosis of cutis laxa senilis, ensuring that other causes are ruled out.