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ICD-10 Guide
ICD-10 CodesL67.0

L67.0

Billable

Trichorrhexis nodosa

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

Code Description

ICD-10 L67.0 is a billable code used to indicate a diagnosis of trichorrhexis nodosa.

Key Diagnostic Point:

Trichorrhexis nodosa is a hair shaft disorder characterized by the presence of nodes or swellings along the hair shaft, leading to hair fragility and breakage. Clinically, patients may present with brittle hair that is prone to splitting and breaking, often resulting in a frizzy appearance. The condition can affect any hair type and is often associated with underlying systemic conditions such as nutritional deficiencies, exposure to harsh chemicals, or genetic predispositions. The anatomy involved primarily includes the hair follicle and the hair shaft itself, where structural abnormalities occur. Disease progression can vary; while some individuals may experience mild symptoms, others may face significant hair loss and cosmetic concerns. Diagnostic considerations include a thorough clinical examination, patient history, and possibly a trichoscopy to visualize hair shaft abnormalities. In some cases, a biopsy may be warranted to rule out other dermatological conditions. Overall, understanding the etiology and clinical manifestations of trichorrhexis nodosa is crucial for effective management and treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from other hair shaft disorders.
  • Treatment complexity: May involve multidisciplinary approaches including dermatology and nutrition.
  • Documentation requirements: Detailed patient history and clinical findings are essential.
  • Coding specificity: Requires accurate coding to reflect the specific condition.

Audit Risk Factors

  • Common coding errors: Misclassification with other hair disorders.
  • Documentation gaps: Incomplete patient history or lack of supporting evidence.
  • Billing challenges: Potential denials if documentation does not clearly support the diagnosis.

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

Primary Care

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

Trichorrhexis nodosa, while not as prevalent as other dermatological conditions, can significantly impact affected individuals' quality of life due to cosmetic concerns and potential psychological effects. Understanding its epidemiology is essential for healthcare providers, as it may be indicative of underlying nutritional deficiencies or systemic health issues. Effective management can improve patient outcomes and reduce healthcare utilization related to hair loss treatments.

ICD-9 vs ICD-10

Trichorrhexis nodosa, while not as prevalent as other dermatological conditions, can significantly impact affected individuals' quality of life due to cosmetic concerns and potential psychological effects. Understanding its epidemiology is essential for healthcare providers, as it may be indicative of underlying nutritional deficiencies or systemic health issues. Effective management can improve patient outcomes and reduce healthcare utilization related to hair loss treatments.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the payer, so it is essential to verify coverage policies related to dermatological conditions. Best practices include using precise coding and maintaining comprehensive records to support claims.

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 L67.0?

L67.0 specifically covers trichorrhexis nodosa, which is characterized by hair shaft abnormalities leading to brittleness and breakage. It does not include other hair disorders such as alopecia or hair loss due to other causes.

When should L67.0 be used instead of related codes?

L67.0 should be used when the clinical presentation specifically indicates trichorrhexis nodosa, particularly when there are observable nodes on the hair shaft. It should not be used for general hair loss or other hair shaft disorders without specific nodular findings.

What documentation supports L67.0?

Documentation should include a detailed clinical examination noting the presence of hair shaft abnormalities, patient history regarding hair care practices, and any relevant systemic conditions that may contribute to the diagnosis.