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ICD-10 Guide
ICD-10 CodesChapter 12: Diseases of the skin and subcutaneous tissueL70

L70

Non-billable

Acne

Chapter 12:Diseases of the skin and subcutaneous tissue

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

Code Description

ICD-10 L70 is a used to indicate a diagnosis of acne.

Key Diagnostic Point:

L70 refers to acne, a common dermatological condition characterized by the presence of comedones, papules, pustules, and sometimes cysts. It primarily affects the pilosebaceous units of the skin, which are found predominantly on the face, back, and shoulders. Acne occurs when hair follicles become clogged with sebum, dead skin cells, and bacteria, leading to inflammation. The condition can vary in severity from mild (occasional pimples) to severe (cystic acne) and can significantly impact the quality of life due to its effects on physical appearance and psychological well-being. Diagnosis is typically clinical, based on the appearance of the skin lesions and patient history. Differential diagnoses may include rosacea, folliculitis, and other skin disorders. Treatment options range from topical therapies (like retinoids and benzoyl peroxide) to systemic medications (such as antibiotics and isotretinoin) depending on the severity and type of acne. Regular follow-up is essential to monitor treatment efficacy and adjust as necessary.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Varies based on severity and type of acne.
  • Treatment complexity: Can involve multiple modalities and long-term management.
  • Documentation requirements: Requires detailed clinical notes on lesion types and treatment response.
  • Coding specificity: Requires precise coding for different types of acne (e.g., L70.0 for acne vulgaris).

Audit Risk Factors

  • Common coding errors: Misclassification of acne types or severity.
  • Documentation gaps: Incomplete records of treatment plans or follow-up.
  • Billing challenges: Denials due to lack of supporting documentation for prescribed treatments.

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 CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Acne is one of the most prevalent skin disorders, affecting a significant portion of the adolescent and young adult population. Its impact extends beyond physical symptoms, often leading to psychological issues such as anxiety and depression. Effective management of acne can improve quality of life and reduce healthcare utilization by preventing complications such as scarring. Public health initiatives aimed at educating patients about acne management can enhance treatment adherence and outcomes.

ICD-9 vs ICD-10

Acne is one of the most prevalent skin disorders, affecting a significant portion of the adolescent and young adult population. Its impact extends beyond physical symptoms, often leading to psychological issues such as anxiety and depression. Effective management of acne can improve quality of life and reduce healthcare utilization by preventing complications such as scarring. Public health initiatives aimed at educating patients about acne management can enhance treatment adherence and outcomes.

Reimbursement & Billing Impact

Reimbursement may vary based on the severity of the acne and the complexity of the treatment plan. Common denials can occur if documentation does not clearly support the medical necessity of the services provided. Coders should ensure that all relevant CPT codes are accurately linked to the diagnosis code L70 to avoid billing issues. Regular audits of claims can help identify patterns of denials and improve coding accuracy.

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 L70?

L70 covers various forms of acne, including acne vulgaris (L70.0), acne conglobata (L70.1), and acne fulminans (L70.2), among others. Each subtype has specific diagnostic criteria based on lesion type and severity.

When should L70 be used instead of related codes?

L70 should be used when the primary diagnosis is acne. If the condition is secondary to another skin disorder or if it presents with significant complications, other codes may be more appropriate.

What documentation supports L70?

Documentation should include a detailed clinical history, physical examination findings, treatment plans, and responses to therapies. Photographic evidence may also be beneficial in assessing severity.