Elastosis perforans serpiginosa
ICD-10 L87.2 is a billable code used to indicate a diagnosis of elastosis perforans serpiginosa.
Elastosis perforans serpiginosa (EPS) is a rare skin disorder characterized by the abnormal degradation of elastic fibers in the dermis, leading to the formation of keratotic papules that can coalesce into serpiginous plaques. Clinically, EPS presents as skin-colored to brownish papules that typically appear on the extensor surfaces, such as the forearms, hands, and legs. The lesions may be itchy and are often mistaken for other dermatological conditions. The pathophysiology involves a combination of genetic predisposition and environmental factors, with associations noted in patients with connective tissue disorders, such as Ehlers-Danlos syndrome. Disease progression is variable; while some patients may experience stable lesions, others may see an increase in the number and size of lesions over time. Diagnostic considerations include a thorough clinical examination and, if necessary, a skin biopsy to confirm the diagnosis by demonstrating the characteristic findings of elastotic material in the dermis. Differential diagnoses include other forms of elastosis and keratosis, making accurate coding essential for appropriate management.
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
L87.2 specifically covers elastosis perforans serpiginosa, which is characterized by the presence of keratotic papules and serpiginous plaques associated with elastic fiber degeneration.
L87.2 should be used when the clinical presentation aligns with elastosis perforans serpiginosa, particularly when lesions are confirmed through biopsy and differentiated from other elastotic or keratotic conditions.
Documentation should include a detailed clinical assessment, photographs of the lesions, and histopathological findings from any biopsies performed to confirm the diagnosis.
