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ICD-10 Guide
ICD-10 CodesL71.8

L71.8

Billable

Other rosacea

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

Code Description

ICD-10 L71.8 is a billable code used to indicate a diagnosis of other rosacea.

Key Diagnostic Point:

L71.8 refers to 'Other rosacea,' a chronic inflammatory skin condition primarily affecting the face. It is characterized by facial erythema, papules, pustules, and telangiectasia. The condition can also manifest with ocular symptoms, including dryness and irritation of the eyes. The pathophysiology of rosacea involves a combination of genetic predisposition, environmental triggers, and immune dysregulation. The disease typically progresses through stages, starting with flushing and persistent redness, followed by the development of papules and pustules. Diagnosis is primarily clinical, relying on the identification of characteristic signs and symptoms, as well as the exclusion of other dermatological conditions such as acne vulgaris or perioral dermatitis. Diagnostic considerations may include a thorough patient history, physical examination, and, in some cases, skin biopsy to rule out other conditions. Effective management often requires a multidisciplinary approach, including dermatological treatments and lifestyle modifications to avoid known triggers.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from other skin disorders.
  • Treatment complexity: May involve topical and systemic therapies.
  • Documentation requirements: Detailed clinical notes needed for accurate coding.
  • Coding specificity: Requires precise documentation of symptoms and severity.

Audit Risk Factors

  • Common coding errors: Misclassification with other rosacea types.
  • Documentation gaps: Incomplete patient history or symptom description.
  • Billing challenges: Potential denials due to insufficient evidence of medical necessity.

Specialty Focus

Medical Specialties

Primary medical specialty: 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

Secondary specialty: 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

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of L71.8 lies in its impact on patient quality of life, as rosacea can lead to psychological distress and social withdrawal. Population health studies indicate that rosacea affects a significant portion of the adult population, particularly women aged 30-50. Understanding and addressing this condition can improve healthcare utilization patterns, as timely diagnosis and management can prevent complications and reduce the need for more intensive treatments.

ICD-9 vs ICD-10

The clinical significance of L71.8 lies in its impact on patient quality of life, as rosacea can lead to psychological distress and social withdrawal. Population health studies indicate that rosacea affects a significant portion of the adult population, particularly women aged 30-50. Understanding and addressing this condition can improve healthcare utilization patterns, as timely diagnosis and management can prevent complications and reduce the need for more intensive treatments.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the payer, so it is essential to verify coverage policies. Common denials may occur if the documentation does not clearly demonstrate the medical necessity of the treatment provided. Best practices include thorough documentation of symptoms, treatment plans, and patient responses to therapies.

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 L71.8?

L71.8 covers various forms of rosacea that do not fit into the more specific categories such as erythematotelangiectatic or papulopustular rosacea. This may include atypical presentations or mixed forms of rosacea that exhibit symptoms like flushing, redness, and inflammatory lesions.

When should L71.8 be used instead of related codes?

L71.8 should be used when the patient's symptoms do not align with the specific types of rosacea defined by other codes. It is essential to document the unique aspects of the patient's condition that warrant this broader classification.

What documentation supports L71.8?

Documentation should include a detailed clinical history, physical examination findings, and any relevant diagnostic tests. Notes should clearly outline the symptoms, their duration, and any treatments attempted, as well as responses to those treatments.