Other cicatricial alopecia
ICD-10 L66.89 is a billable code used to indicate a diagnosis of other cicatricial alopecia.
L66.89 refers to other cicatricial alopecia, a condition characterized by hair loss due to scarring of the scalp. This type of alopecia can arise from various underlying causes, including inflammatory diseases such as lichen planopilaris, discoid lupus erythematosus, or folliculitis decalvans. Clinically, patients may present with patches of hair loss, often accompanied by symptoms such as itching, burning, or tenderness in the affected areas. The anatomy involved primarily includes the hair follicles and the surrounding dermal tissue, where inflammation leads to fibrosis and scarring, ultimately resulting in irreversible hair loss. Disease progression can vary; some patients may experience rapid hair loss, while others may have a more chronic course. Diagnostic considerations include a thorough clinical examination, patient history, and often a scalp biopsy to confirm the diagnosis and rule out other causes of hair loss. Laboratory tests may also be warranted to identify any underlying systemic conditions contributing to the alopecia.
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
L66.89 encompasses various forms of cicatricial alopecia not classified elsewhere, including those resulting from autoimmune disorders, infections, and trauma. Conditions such as lichen planopilaris, discoid lupus erythematosus, and folliculitis decalvans fall under this category.
L66.89 should be used when the cicatricial alopecia does not fit the specific criteria of other codes like L66.0 or L66.1. It is essential to document the specific etiology of the alopecia to ensure accurate coding.
Documentation should include a detailed patient history, clinical findings, and results from any diagnostic tests, such as scalp biopsies. Clear identification of the underlying cause of the cicatricial alopecia is crucial for appropriate coding.
