Central centrifugal cicatricial alopecia
ICD-10 L66.81 is a billable code used to indicate a diagnosis of central centrifugal cicatricial alopecia.
Central centrifugal cicatricial alopecia (CCCA) is a form of hair loss characterized by progressive thinning and loss of hair, primarily affecting the central scalp. It is most commonly seen in women of African descent and is associated with inflammation and scarring of the hair follicles. The condition typically begins as a small patch of hair loss that gradually expands outward, leading to a more extensive area of baldness. The underlying anatomy involved includes the hair follicles and the surrounding dermal and subcutaneous tissues, which become damaged due to inflammatory processes. Disease progression can lead to permanent hair loss if not addressed early. Diagnosis is primarily clinical, based on the characteristic pattern of hair loss and may be supported by scalp biopsy to assess the degree of inflammation and scarring. Differential diagnoses include other forms of cicatricial alopecia, such as lichen planopilaris and follicular degeneration syndrome, which must be ruled out to confirm CCCA.
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
L66.81 specifically covers central centrifugal cicatricial alopecia, which is characterized by hair loss in the central scalp area, often with associated inflammation and scarring. It does not cover other forms of alopecia or hair loss without scarring.
L66.81 should be used when the clinical presentation aligns with central centrifugal cicatricial alopecia, particularly when there is evidence of scarring and inflammation. It should not be used for non-scarring alopecia or other forms of cicatricial alopecia without clear documentation.
Documentation should include a detailed clinical history, physical examination findings, and any relevant laboratory or biopsy results that confirm the diagnosis of CCCA. Photographic evidence of the hair loss pattern may also be beneficial.
