Acne keloid
ICD-10 L73.0 is a billable code used to indicate a diagnosis of acne keloid.
Acne keloid, also known as keloidal acne, is a dermatological condition characterized by the formation of keloids in areas affected by acne lesions. Clinically, it presents as raised, firm, and often itchy scars that develop in response to inflammation from acne. The condition primarily affects individuals with a predisposition to keloid formation, often seen in darker skin types. The pathophysiology involves an abnormal healing response where excessive collagen is produced during the repair of acne lesions, leading to hypertrophic scars. The progression of acne keloid can vary; while some patients may experience localized keloids, others may develop multiple lesions over time. Diagnosis is typically clinical, based on the appearance of the scars and the patient's history of acne. Differential diagnoses include other forms of keloids and hypertrophic scars, necessitating careful evaluation to confirm the diagnosis and rule out other skin disorders. Treatment options may include intralesional corticosteroid injections, surgical excision, or laser therapy, depending on the severity and extent of the keloids.
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
L73.0 specifically covers acne keloid, which is characterized by keloid formation following acne lesions. It does not include other types of keloids or hypertrophic scars that are not related to acne.
L73.0 should be used when the patient presents with keloids specifically resulting from acne lesions. If the scars are hypertrophic but not keloidal, or if they arise from other causes, different codes should be selected.
Documentation should include a detailed clinical history of acne, descriptions of the keloidal lesions, treatment history, and any previous interventions. Photographic evidence may also be beneficial.
