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ICD-10 Guide
ICD-10 CodesL85.0

L85.0

Billable

Acquired ichthyosis

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

Code Description

ICD-10 L85.0 is a billable code used to indicate a diagnosis of acquired ichthyosis.

Key Diagnostic Point:

Acquired ichthyosis is a skin disorder characterized by dry, scaly skin that results from a variety of underlying conditions rather than being inherited. Clinically, it presents as thickened, rough patches of skin, often resembling fish scales, which can occur on any part of the body but are most commonly found on the extremities and trunk. The condition can be associated with systemic diseases such as hypothyroidism, diabetes mellitus, and certain malignancies, which may contribute to its development. The anatomy involved primarily includes the epidermis and dermis, where keratinization processes are disrupted. Disease progression can vary; while some patients may experience mild symptoms, others may develop extensive scaling and discomfort. Diagnostic considerations include a thorough patient history, physical examination, and possibly skin biopsy to rule out other dermatological conditions. Laboratory tests may be warranted to identify any underlying systemic diseases contributing to the ichthyosis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from other skin disorders like psoriasis and eczema.
  • Treatment complexity: Management may involve addressing underlying conditions and symptomatic relief.
  • Documentation requirements: Detailed clinical history and examination findings are necessary.
  • Coding specificity: Accurate coding requires understanding of the underlying causes.

Audit Risk Factors

  • Common coding errors: Misidentification of ichthyosis types.
  • Documentation gaps: Incomplete patient history or lack of evidence for underlying conditions.
  • Billing challenges: Potential denials due to insufficient documentation linking the condition to 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

Endocrinology

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

Acquired ichthyosis can significantly affect patients' quality of life due to its impact on skin appearance and comfort. It is essential for healthcare providers to recognize and manage this condition, as it may indicate underlying systemic diseases that require attention. Understanding the epidemiology of acquired ichthyosis can help in identifying at-risk populations and improving healthcare utilization patterns through early intervention and management.

ICD-9 vs ICD-10

Acquired ichthyosis can significantly affect patients' quality of life due to its impact on skin appearance and comfort. It is essential for healthcare providers to recognize and manage this condition, as it may indicate underlying systemic diseases that require attention. Understanding the epidemiology of acquired ichthyosis can help in identifying at-risk populations and improving healthcare utilization patterns through early intervention and management.

Reimbursement & Billing Impact

Reimbursement may depend on demonstrating medical necessity for treatments such as topical therapies or systemic medications. Common denials may arise if documentation does not clearly link the diagnosis to the treatment provided. Coders should ensure that all relevant clinical information is included in the medical record to support the diagnosis and any associated procedures.

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 L85.0?

L85.0 covers acquired ichthyosis resulting from systemic conditions such as hypothyroidism, diabetes, and certain malignancies. It does not include inherited forms of ichthyosis.

When should L85.0 be used instead of related codes?

L85.0 should be used when the ichthyosis is acquired due to an underlying condition, as opposed to inherited forms classified under other codes.

What documentation supports L85.0?

Documentation should include a detailed clinical history, physical examination findings, and any relevant laboratory results that indicate underlying systemic conditions.