Primary focal hyperhidrosis, palms
ICD-10 L74.512 is a billable code used to indicate a diagnosis of primary focal hyperhidrosis, palms.
Primary focal hyperhidrosis of the palms is a condition characterized by excessive sweating localized to the palmar surfaces. This disorder typically manifests during childhood or adolescence and can significantly impact daily activities and quality of life. The condition is thought to be due to overactivity of the sympathetic nervous system, leading to increased sweat gland activity. Patients often report episodes of sweating that can be triggered by heat, stress, or anxiety. The palms may appear moist and can lead to difficulties with gripping objects, embarrassment, and social anxiety. Diagnosis is primarily clinical, based on patient history and physical examination, with no specific laboratory tests required. However, the condition may be differentiated from secondary causes of hyperhidrosis through careful history-taking and exclusion of other medical conditions. Disease progression varies; while some patients may experience spontaneous improvement over time, others may require treatment options such as topical antiperspirants, iontophoresis, or surgical interventions for symptom relief.
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
L74.512 specifically covers primary focal hyperhidrosis affecting the palms. This condition is characterized by excessive sweating without an identifiable secondary cause, distinguishing it from other forms of hyperhidrosis.
L74.512 should be used when the patient presents with localized excessive sweating of the palms without any underlying medical condition causing the hyperhidrosis. It is important to differentiate it from other sites of hyperhidrosis, such as the axillae or feet.
Documentation should include a detailed patient history, physical examination findings, and any treatments attempted. It is essential to note the onset, triggers, and impact on daily life to support the diagnosis of primary focal hyperhidrosis.
