Primary focal hyperhidrosis, unspecified
ICD-10 L74.519 is a billable code used to indicate a diagnosis of primary focal hyperhidrosis, unspecified.
Primary focal hyperhidrosis is a condition characterized by excessive sweating in specific areas of the body, most commonly the palms, soles, underarms, and face. This condition is not due to any underlying medical disorder and is often localized, affecting only certain body parts. The excessive sweating can lead to significant discomfort, social anxiety, and impairment in daily activities. The exact pathophysiology is not fully understood, but it is believed to involve overactivity of the sympathetic nervous system. Diagnosis is primarily clinical, based on patient history and physical examination, often supplemented by the use of the Minor's starch-iodine test to confirm hyperhidrosis. Disease progression can vary; while some patients may experience symptoms throughout their lives, others may find that symptoms diminish with age. It is important to differentiate primary focal hyperhidrosis from secondary causes of sweating, which may be associated with systemic conditions such as hyperthyroidism or diabetes. Treatment options include topical antiperspirants, iontophoresis, botulinum toxin injections, and in severe cases, surgical interventions. Accurate diagnosis and coding are essential for appropriate management and reimbursement.
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
L74.519 covers primary focal hyperhidrosis that is not specified to a particular body area. It is used when excessive sweating occurs in localized regions without an identifiable secondary cause.
L74.519 should be used when the hyperhidrosis is focal and primary, and when the specific area of sweating is not documented. If the sweating is localized to a specific area, such as the axillae or palms, more specific codes should be used.
Documentation should include a detailed patient history, physical examination findings, results from any diagnostic tests performed (like the starch-iodine test), and a record of treatment options tried and their outcomes.
