Other lichen planopilaris
ICD-10 L66.19 is a billable code used to indicate a diagnosis of other lichen planopilaris.
Lichen planopilaris (LPP) is a variant of lichen planus that primarily affects the hair follicles, leading to cicatricial alopecia. Clinically, it presents as a patchy or diffuse hair loss, often accompanied by pruritus and scalp tenderness. The condition is characterized by inflammation of the hair follicles, resulting in scarring and permanent hair loss if not treated promptly. The anatomy involved includes the scalp and hair follicles, where the inflammatory process disrupts normal hair growth. Disease progression can vary; some patients may experience stable disease, while others may have progressive hair loss. Diagnosis is typically made through clinical examination and may be supported by scalp biopsy, which reveals lichenoid tissue changes and follicular damage. Differential diagnoses include other forms of alopecia, such as alopecia areata and discoid lupus erythematosus, making accurate diagnosis crucial 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
L66.19 covers other forms of lichen planopilaris that do not fall under more specific categories, including variants that may present with unique clinical features or atypical presentations.
L66.19 should be used when the lichen planopilaris is not classified under more specific codes, such as L66.0 for alopecia areata or L66.1 for lichen planus. It is essential to ensure that the clinical presentation aligns with the criteria for L66.19.
Documentation should include a thorough clinical history, physical examination findings, and any diagnostic tests performed, such as scalp biopsies, to confirm the diagnosis of lichen planopilaris.
