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ICD-10 Guide
ICD-10 CodesL85.3

L85.3

Billable

Xerosis cutis

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

Code Description

ICD-10 L85.3 is a billable code used to indicate a diagnosis of xerosis cutis.

Key Diagnostic Point:

Xerosis cutis, commonly referred to as dry skin, is characterized by a decrease in moisture content in the skin, leading to rough, scaly, and sometimes itchy skin. It can occur in any area of the body but is most prevalent on the lower legs, arms, and hands. The condition arises from various factors, including environmental influences (such as low humidity and excessive bathing), underlying medical conditions (like diabetes or hypothyroidism), and aging, which reduces the skin's natural oils. Xerosis can progress to more severe skin disorders, including eczema or dermatitis, if not managed appropriately. Diagnosis typically involves a thorough clinical examination, patient history, and sometimes, skin biopsy to rule out other conditions. Treatment focuses on rehydrating the skin through emollients, moisturizers, and lifestyle modifications, such as using humidifiers and avoiding harsh soaps. In chronic cases, topical corticosteroids may be prescribed to reduce inflammation and itching.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Moderate, as it requires differentiation from other skin conditions.
  • Treatment complexity: Low to moderate, primarily involving topical therapies.
  • Documentation requirements: Moderate, necessitating clear patient history and treatment response.
  • Coding specificity: High, as it specifically identifies xerosis cutis.

Audit Risk Factors

  • Common coding errors: Misclassification with other skin conditions.
  • Documentation gaps: Incomplete patient history or treatment details.
  • Billing challenges: Denials due to lack of specificity in documentation.

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

Xerosis cutis is a prevalent condition that can significantly affect quality of life, leading to discomfort and potential complications such as infections or dermatitis. It is particularly common in older adults and those living in dry climates. Understanding and managing xerosis is essential for improving patient outcomes and reducing healthcare utilization, as untreated dry skin can lead to more severe dermatological issues requiring more intensive treatment.

ICD-9 vs ICD-10

Xerosis cutis is a prevalent condition that can significantly affect quality of life, leading to discomfort and potential complications such as infections or dermatitis. It is particularly common in older adults and those living in dry climates. Understanding and managing xerosis is essential for improving patient outcomes and reducing healthcare utilization, as untreated dry skin can lead to more severe dermatological issues requiring more intensive treatment.

Reimbursement & Billing Impact

Reimbursement may vary based on the severity of the condition and the treatment provided. Common denials can occur if the documentation does not adequately reflect the patient's symptoms or if the treatment plan is not well outlined. Best practices include maintaining thorough records of patient interactions, treatment responses, and any follow-up care provided to substantiate the medical necessity of services rendered.

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 L85.3?

L85.3 specifically covers xerosis cutis, which includes various degrees of dry skin that may result from environmental factors, aging, or underlying health conditions. It does not include dry skin due to systemic diseases or other dermatological conditions.

When should L85.3 be used instead of related codes?

L85.3 should be used when the primary diagnosis is xerosis cutis without any underlying systemic disease. If the dry skin is secondary to another condition, the primary diagnosis code should be used instead.

What documentation supports L85.3?

Documentation should include a detailed patient history, clinical examination findings, treatment plans, and responses to therapies. It is essential to note the duration and severity of symptoms to support the diagnosis.