Hey All!
I'm a derm coding specialist in VA.
Anywho, my question is RE: L57.0 actinic keratosis; per the ICD 10 guidelines we are to use an additional code from category X32 which will identify the source of radition. HOWEVER, actinic means "sun" and whats more perplexing is that the X32 code [exposure to sunlight] has an excludes 1 note that states:
"Excludes1:
radiation-related disorders of the skin and subcutaneous tissue (L55-L59)"
:rolleyes: ... Is my logic off or are the guidelines contradictory here? My suggestion to the derm providers was to avoid use of the additional code when using the L57.0 dx. What are your thoughts?
Thanks and take care,
Christina D
I'm a derm coding specialist in VA.
Anywho, my question is RE: L57.0 actinic keratosis; per the ICD 10 guidelines we are to use an additional code from category X32 which will identify the source of radition. HOWEVER, actinic means "sun" and whats more perplexing is that the X32 code [exposure to sunlight] has an excludes 1 note that states:
"Excludes1:
radiation-related disorders of the skin and subcutaneous tissue (L55-L59)"
:rolleyes: ... Is my logic off or are the guidelines contradictory here? My suggestion to the derm providers was to avoid use of the additional code when using the L57.0 dx. What are your thoughts?
Thanks and take care,
Christina D
ICD-10 Actinic Keratosis Clarification
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