Keratoderma in diseases classified elsewhere
Chapter 12:Diseases of the skin and subcutaneous tissue
ICD-10 L86 is a billable code used to indicate a diagnosis of keratoderma in diseases classified elsewhere.
Keratoderma, classified under ICD-10 code L86, refers to a condition characterized by thickened skin (hyperkeratosis) that occurs as a secondary manifestation of various underlying diseases. Clinically, keratoderma presents as localized or diffuse areas of thickened skin, often affecting the palms and soles, but can also appear on other body parts. The condition can be associated with genetic disorders, autoimmune diseases, or infections. The anatomy involved primarily includes the epidermis, where keratinocytes proliferate excessively, leading to the characteristic thickening. Disease progression can vary; in some cases, it may remain stable, while in others, it can lead to significant discomfort, pain, or secondary infections. Diagnostic considerations include a thorough patient history, physical examination, and possibly skin biopsy to differentiate keratoderma from other dermatological conditions such as psoriasis or eczema. Understanding the underlying cause is crucial for effective management and treatment.
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
L86 encompasses keratoderma associated with various underlying conditions, including genetic syndromes like palmoplantar keratoderma, as well as secondary keratoderma resulting from systemic diseases such as psoriasis or autoimmune disorders.
L86 should be used when the keratoderma is specifically identified as a manifestation of another disease, rather than when it is a primary diagnosis or when other specific skin conditions are present.
Documentation should include a detailed clinical history, physical examination findings, and any diagnostic tests performed, such as skin biopsies, to confirm the diagnosis and rule out other conditions.
