ICD-10 Guide

L71

Non-billable

Rosacea

Chapter 12:Diseases of the skin and subcutaneous tissue

BILLABLE STATUSNo

IMPLEMENTATION DATEOctober 1, 2015

LAST UPDATED09/05/2025

Code Description

ICD-10 L71 is a used to indicate a diagnosis of rosacea.

Key Diagnostic Point:

Rosacea is a chronic inflammatory skin condition characterized by facial redness, flushing, and the presence of papules and pustules. It primarily affects adults, particularly those with fair skin, and can lead to significant psychosocial distress due to its visible symptoms. The condition can also manifest in various forms, including erythematotelangiectatic rosacea, papulopustular rosacea, phymatous rosacea, and ocular rosacea, each with distinct clinical features and treatment approaches. Understanding the nuances of rosacea is crucial for effective management and patient education, as it often requires a multidisciplinary approach involving dermatologists and primary care providers.

The clinical significance of rosacea lies in its potential to impact the quality of life of affected individuals. Patients may experience not only physical discomfort but also emotional and social challenges due to the visible nature of the condition. Proper coding and documentation of rosacea are essential for accurate diagnosis, treatment planning, and insurance reimbursement. Healthcare providers should be aware of the various subtypes of rosacea to ensure appropriate coding and management strategies are employed, which can ultimately improve patient outcomes and satisfaction.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

Variety of subtypes
Need for accurate documentation
Potential for misdiagnosis

Audit Risk Factors

Inconsistent documentation
Misuse of codes
Lack of clarity in patient symptoms

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

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CPT Code

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CPT Code

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Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

From an administrative perspective, the implications of proper coding for rosacea include improved quality measures and patient satisfaction scores. As healthcare systems increasingly focus on value-based care, the ability to accurately document and manage chronic conditions like rosacea can enhance overall performance metrics. This, in turn, can influence reimbursement rates and funding for dermatological services, highlighting the importance of robust coding practices in the management of rosacea.

ICD-9 vs ICD-10

The clinical impact of the L71 code category extends beyond individual patient care to encompass broader public health considerations. Accurate coding of rosacea can contribute to better epidemiological data, which can inform healthcare policies and resource allocation for dermatological conditions. Furthermore, as awareness of rosacea increases, healthcare providers may see a rise in patient inquiries and visits, necessitating efficient management strategies to address this growing demand. From an administrative perspective, the implications of proper coding for rosacea include improved quality measures and patient satisfaction scores. As healthcare systems increasingly focus on value-based care, the ability to accurately document and manage chronic conditions like rosacea can enhance overall performance metrics. This, in turn, can influence reimbursement rates and funding for dermatological services, highlighting the importance of robust coding practices in the management of rosacea.

Reimbursement & Billing Impact

reimbursement rates and funding for dermatological services, highlighting the importance of robust coding practices in the management of rosacea.

Resources

Clinical References

•
Official ICD-10 Guidelines for L71

Coding & Billing References

•
Official ICD-10 Guidelines for L71

Frequently Asked Questions

What conditions are included in L71?

L71 includes various forms of rosacea, such as erythematotelangiectatic rosacea, papulopustular rosacea, phymatous rosacea, and ocular rosacea, each with specific clinical features.

When should I use L71 codes?

L71 codes should be used when diagnosing patients with rosacea, particularly when documenting the specific subtype of the condition to ensure accurate treatment and billing.

What documentation is required for L71?

Documentation for L71 should include a thorough clinical evaluation, details of the patient's symptoms, the specific subtype of rosacea diagnosed, and any treatment plans or interventions undertaken.

ICD-10 L71 is a used to indicate a diagnosis of rosacea.

Key Diagnostic Point:

The clinical significance of rosacea lies in its potential to impact the quality of life of affected individuals. Patients may experience not only physical discomfort but also emotional and social challenges due to the visible nature of the condition. Proper coding and documentation of rosacea are essential for accurate diagnosis, treatment planning, and insurance reimbursement. Healthcare providers should be aware of the various subtypes of rosacea to ensure appropriate coding and management strategies are employed, which can ultimately improve patient outcomes and satisfaction.