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v1.0.0
ICD-10 Guide
ICD-10 CodesL82.0

L82.0

Billable

Inflamed seborrheic keratosis

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

Code Description

ICD-10 L82.0 is a billable code used to indicate a diagnosis of inflamed seborrheic keratosis.

Key Diagnostic Point:

Inflamed seborrheic keratosis is a benign skin lesion characterized by its rough, scaly surface and often appears as a brown, black, or tan growth on the skin. Clinically, these lesions may become inflamed, presenting with erythema and irritation, which can lead to discomfort or pruritus. The lesions typically arise from the epidermis, where keratinocytes proliferate abnormally, leading to the formation of these keratotic plaques. Disease progression is generally benign, with lesions remaining stable or growing slowly over time. However, inflammation can occur due to friction, irritation, or secondary infection, necessitating clinical evaluation. Diagnostic considerations include a thorough history and physical examination, often supplemented by a biopsy to rule out malignancy, especially if the lesion exhibits atypical features. The diagnosis of inflamed seborrheic keratosis is primarily clinical, but histological confirmation may be warranted in atypical cases.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Moderate, as differentiation from other skin lesions may require biopsy.
  • Treatment complexity: Low, as treatment options include topical therapies or excision.
  • Documentation requirements: Moderate, necessitating detailed clinical notes and possibly histopathological reports.
  • Coding specificity: High, as L82.0 specifically denotes inflamed seborrheic keratosis.

Audit Risk Factors

  • Common coding errors: Misclassification with other skin lesions.
  • Documentation gaps: Incomplete clinical notes regarding the inflammatory nature of the lesion.
  • Billing challenges: Potential denials if the inflammation is not adequately documented.

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

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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Inflamed seborrheic keratosis is a common dermatological condition that can affect a significant portion of the population, particularly older adults. Its clinical significance lies in the potential for misdiagnosis with malignant lesions, which can lead to unnecessary anxiety and interventions. Understanding this condition contributes to improved quality measures in dermatology, as proper management can reduce healthcare utilization and enhance patient outcomes.

ICD-9 vs ICD-10

Inflamed seborrheic keratosis is a common dermatological condition that can affect a significant portion of the population, particularly older adults. Its clinical significance lies in the potential for misdiagnosis with malignant lesions, which can lead to unnecessary anxiety and interventions. Understanding this condition contributes to improved quality measures in dermatology, as proper management can reduce healthcare utilization and enhance patient outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of the procedure performed, such as excision or cryotherapy. Common denials may arise from insufficient documentation of the inflammatory nature of the lesion or failure to provide a clear rationale for the procedure. Best practices include ensuring that clinical notes are comprehensive and that any procedural codes are supported by 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 L82.0?

L82.0 specifically covers inflamed seborrheic keratosis, which may present with erythema and irritation. It does not cover other types of keratosis or skin lesions.

When should L82.0 be used instead of related codes?

L82.0 should be used when the seborrheic keratosis is inflamed, as opposed to L82.1, which is for non-inflamed lesions. The presence of inflammation is key in code selection.

What documentation supports L82.0?

Documentation should include a detailed description of the lesion, evidence of inflammation, and any treatment provided. Photographic evidence may also be beneficial.