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ICD-10 Guide
ICD-10 CodesChapter 12: Diseases of the skin and subcutaneous tissueL87

L87

Non-billable

Transepidermal elimination disorders

Chapter 12:Diseases of the skin and subcutaneous tissue

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

Code Description

ICD-10 L87 is a used to indicate a diagnosis of transepidermal elimination disorders.

Key Diagnostic Point:

Transepidermal elimination disorders (L87) encompass a group of skin conditions characterized by the abnormal elimination of substances through the epidermis. These disorders can manifest as various dermatological symptoms, including erythema, scaling, and crusting. The skin's anatomy, particularly the epidermis and its barrier function, plays a crucial role in these conditions. Disease progression may vary, with some patients experiencing acute episodes while others may have chronic manifestations. Diagnostic considerations include a thorough patient history, physical examination, and potentially skin biopsies to rule out other dermatological conditions. Conditions such as ichthyosis, psoriasis, and eczema may present similarly, making differential diagnosis essential. Understanding the underlying mechanisms, such as genetic factors or environmental triggers, is vital for effective management and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from other skin disorders
  • Treatment complexity: May involve multiple therapeutic approaches
  • Documentation requirements: Detailed clinical notes needed
  • Coding specificity: Requires precise coding to capture the specific disorder

Audit Risk Factors

  • Common coding errors: Misclassification with other skin disorders
  • Documentation gaps: Incomplete patient history or examination notes
  • Billing challenges: Potential denials due to lack of specificity in coding

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

Allergy and Immunology

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 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

Transepidermal elimination disorders can significantly impact patient quality of life due to associated symptoms such as itching and discomfort. Understanding these conditions is crucial for improving population health outcomes, as they may affect a substantial number of individuals with chronic skin issues. Quality measures related to skin health and effective management of these disorders can lead to better healthcare utilization patterns and reduced overall healthcare costs.

ICD-9 vs ICD-10

Transepidermal elimination disorders can significantly impact patient quality of life due to associated symptoms such as itching and discomfort. Understanding these conditions is crucial for improving population health outcomes, as they may affect a substantial number of individuals with chronic skin issues. Quality measures related to skin health and effective management of these disorders can lead to better healthcare utilization patterns and reduced overall healthcare costs.

Reimbursement & Billing Impact

reimbursement considerations include the necessity of detailed notes that outline the patient's condition, treatment plan, and response to therapy. Denials may occur if documentation does not clearly support the diagnosis or if the coding lacks specificity. Best practices include regular training on coding updates and maintaining clear communication with billing departments to address any issues promptly.

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 L87?

L87 covers conditions such as transepidermal elimination disorders, which may include ichthyosis vulgaris and other related skin disorders characterized by abnormal skin barrier function and elimination processes.

When should L87 be used instead of related codes?

L87 should be used when the primary diagnosis involves transepidermal elimination disorders specifically, rather than other skin conditions like eczema or psoriasis, which have their own codes.

What documentation supports L87?

Documentation should include a detailed clinical history, physical examination findings, and any diagnostic tests performed, such as skin biopsies or allergy tests, to substantiate the diagnosis.