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ICD-10 Guide
ICD-10 CodesL82.1

L82.1

Billable

Other seborrheic keratosis

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

Code Description

ICD-10 L82.1 is a billable code used to indicate a diagnosis of other seborrheic keratosis.

Key Diagnostic Point:

L82.1 refers to 'Other seborrheic keratosis,' a benign skin tumor characterized by the proliferation of keratinocytes. Clinically, seborrheic keratoses present as well-defined, often pigmented lesions that can vary in color from light tan to black. They typically have a scaly, wart-like appearance and may be flat or raised. These lesions are most commonly found on the face, chest, back, and scalp, and they tend to increase in number with age. The exact etiology remains unclear, but genetic predisposition and sun exposure are considered contributing factors. Disease progression is generally benign, with lesions remaining stable or growing slowly over time. Diagnostic considerations include a thorough clinical examination and, if necessary, a biopsy to rule out malignancy, particularly in atypical cases. Differential diagnoses include melanoma, basal cell carcinoma, and other skin lesions, making accurate identification crucial for appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Moderate, as differentiation from malignant lesions may require biopsy.
  • Treatment complexity: Low, as treatment is often not necessary unless for cosmetic reasons.
  • Documentation requirements: Moderate, requiring clear descriptions of lesions and any treatment performed.
  • Coding specificity: Medium, as it requires accurate identification of the type of seborrheic keratosis.

Audit Risk Factors

  • Common coding errors: Misclassification of seborrheic keratosis as malignant lesions.
  • Documentation gaps: Incomplete descriptions of lesions or lack of biopsy results.
  • Billing challenges: Potential denials if documentation does not support the diagnosis or treatment.

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Seborrheic keratosis is prevalent in the aging population, impacting quality of life due to cosmetic concerns. Understanding and accurately coding this condition can enhance healthcare utilization patterns by ensuring appropriate management and follow-up. Furthermore, accurate coding contributes to population health data, aiding in the identification of trends and the allocation of resources for skin health initiatives.

ICD-9 vs ICD-10

Seborrheic keratosis is prevalent in the aging population, impacting quality of life due to cosmetic concerns. Understanding and accurately coding this condition can enhance healthcare utilization patterns by ensuring appropriate management and follow-up. Furthermore, accurate coding contributes to population health data, aiding in the identification of trends and the allocation of resources for skin health initiatives.

Reimbursement & Billing Impact

Reimbursement considerations include verifying that the procedure performed aligns with the diagnosis. Common denials may arise from insufficient documentation or lack of medical necessity for treatment. Best practices include maintaining thorough records of patient evaluations, treatment plans, and follow-up care to substantiate claims and reduce the risk of audits.

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 L82.1?

L82.1 covers other types of seborrheic keratosis that do not fall under the more specific categories. This includes lesions that may not fit the classic presentation or have atypical features requiring further evaluation.

When should L82.1 be used instead of related codes?

L82.1 should be used when the seborrheic keratosis does not fit the criteria for more specific codes such as L82.0 or L82.2. It is important to document the characteristics of the lesion to justify this code.

What documentation supports L82.1?

Documentation should include a detailed description of the lesion's appearance, location, and any symptoms experienced by the patient. If a biopsy is performed, results should be included to confirm the diagnosis.