Hirsutism
ICD-10 L68.0 is a billable code used to indicate a diagnosis of hirsutism.
Hirsutism is characterized by excessive hair growth in women in areas where men typically grow hair, such as the face, chest, and back. This condition is often a result of an imbalance in androgen levels, which can be due to various underlying conditions such as polycystic ovary syndrome (PCOS), adrenal hyperplasia, or tumors that produce androgens. The clinical presentation may include coarse, dark hair in areas such as the upper lip, chin, and abdomen, often accompanied by other symptoms like acne, irregular menstrual cycles, and obesity. The anatomy involved primarily includes the hair follicles, which are influenced by hormonal levels. Disease progression can vary; some patients may experience gradual hair growth, while others may see rapid changes. Diagnostic considerations include a thorough clinical evaluation, hormonal assays to measure androgen levels, and imaging studies if an adrenal or ovarian mass is suspected. A multidisciplinary approach may be necessary for management, involving endocrinologists and dermatologists.
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
L68.0 specifically covers hirsutism due to hormonal imbalances, particularly in women. It does not include hirsutism caused by medications or other external factors, which may require different coding.
L68.0 should be used when the hirsutism is idiopathic or related to hormonal disorders. If the hirsutism is secondary to medication or other external factors, other codes should be considered.
Documentation should include a detailed history of hair growth patterns, hormonal assay results, and any associated symptoms such as menstrual irregularities or signs of virilization.
