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ICD-10 Guide
ICD-10 CodesL72.9

L72.9

Billable

Follicular cyst of the skin and subcutaneous tissue, unspecified

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

Code Description

ICD-10 L72.9 is a billable code used to indicate a diagnosis of follicular cyst of the skin and subcutaneous tissue, unspecified.

Key Diagnostic Point:

Follicular cysts of the skin and subcutaneous tissue, classified under ICD-10 code L72.9, are benign lesions that arise from hair follicles. These cysts are typically filled with keratin and can present as small, round, firm nodules beneath the skin. They may vary in size and can occur anywhere on the body, although they are most commonly found on the face, neck, and trunk. Clinically, these cysts may be asymptomatic, but they can become inflamed or infected, leading to discomfort or pain. The anatomy involved includes the epidermis and dermis, where the cysts originate from the infundibulum of hair follicles. Disease progression is generally slow, and while they are not malignant, they can recur after excision. Diagnostic considerations include a thorough clinical examination and, if necessary, imaging studies to rule out other skin lesions. A biopsy may be performed to confirm the diagnosis in atypical cases.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • Diagnostic complexity: Low - diagnosis is typically straightforward based on clinical presentation.
  • Treatment complexity: Low - management often involves simple surgical excision.
  • Documentation requirements: Low - basic documentation of clinical findings is sufficient.
  • Coding specificity: Low - the code is specific to follicular cysts without further specification.

Audit Risk Factors

  • Common coding errors: Misclassification with other types of cysts.
  • Documentation gaps: Incomplete clinical notes regarding the cyst's characteristics.
  • Billing challenges: Potential denials if the cyst is not clearly documented as benign.

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

General Surgery

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Follicular cysts, while benign, can impact patient quality of life if they become inflamed or infected. Their prevalence in the population highlights the importance of proper diagnosis and management in dermatological practice. Understanding the epidemiology of these cysts can aid in developing quality measures and improving healthcare utilization patterns, particularly in dermatology and surgical specialties.

ICD-9 vs ICD-10

Follicular cysts, while benign, can impact patient quality of life if they become inflamed or infected. Their prevalence in the population highlights the importance of proper diagnosis and management in dermatological practice. Understanding the epidemiology of these cysts can aid in developing quality measures and improving healthcare utilization patterns, particularly in dermatology and surgical specialties.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity of surgical excision if the cyst is symptomatic or recurrent. Common denials may occur if the documentation does not adequately describe the cyst's characteristics or if it is not clear that the procedure was medically necessary. Best practices include thorough clinical notes and ensuring that the procedure code aligns with the diagnosis.

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 L72.9?

L72.9 covers unspecified follicular cysts, which may include various types of cysts arising from hair follicles that do not have a more specific diagnosis. It is used when the exact nature of the cyst is not documented.

When should L72.9 be used instead of related codes?

L72.9 should be used when the cyst is confirmed as a follicular cyst but lacks further specification. If the cyst is identified as an epidermoid or pilar cyst, the more specific codes L72.0 or L72.1 should be utilized.

What documentation supports L72.9?

Documentation should include a detailed description of the cyst's location, size, and characteristics, as well as any symptoms experienced by the patient. Clinical notes should confirm the diagnosis of a follicular cyst.