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Eczema ICD 10 coding is made easier with our billing guidelines. This article includes all medical codes you will need to report eczema and related specific ICD 10 & 11 codes such as dyshidrotic eczema ICD 10 and flexural eczema. Read on for a summary of the necessary codes followed by a description.
What Is Eczema?
Eczema is a skin ailment that could manifest as dryness, itching, rashes, scaly areas, blisters, and various skin infections due to inflammation of the superficial layer of the skin.
Eczema is simply a range of skin disorders causing inflammation and irritation.
Eczema is an identifiable reaction pattern seen in various skin conditions rather than a single medical illness.
Many people often use the term eczema to refer to the prevalent form of dermatitis, which is atopic dermatitis.
Atopic dermatitis, hay fever, and asthma are constellations of symptoms of immune-related disorders and are referred to as atopic.
Meanwhile, the term dermatitis generally refers to skin inflammation.
Some foods aggravate eczema symptoms, such as nuts and dairy.
Smoke, pollen, and scents are examples of environmental factors which can trigger an eczema flare-up.
Studies show that a quarter of children in the US has this disease condition. Most people grow out of it, whereas others will struggle with it far into adulthood.
Although there is no cure, most patients can control their symptoms by seeking medical help and attempting to avoid irritants.
Eczema is not infectious. Therefore you can’t pass it on to someone else.
Symptoms
Everyone’s eczema brings a different appearance. In addition, individual flare-ups usually do not constantly occur in the exact location.
Eczema is usually constantly itchy. Pruritus is the medical name for itching. The itching might be minimal to severe for many people.
When the itch is intense enough, they scratch it until it bleeds. The “itch-scratch cycle” is what it’s termed, regardless of whatever region of your skin is affected. Itching might occur before the rash appears.
Other symptoms include:
Sensitive and dry skin
Skin discoloration
Inflamed skin
Rough and scaly skin
Skin oozing and crusting
Swelling
Depending on the severity of eczema, you might have all of the symptoms mentioned above.
However, you may experience occasional flare-ups, or your symptoms may completely disappear.
Eczema can be red in persons with lighter skin, but it can also be ashen, grey, darker brown, or purple in people with darker skin.
Causes
The exact cause of eczema is unknown. However, it is believed by many health professionals that eczema occurs as a result of an interplay between genetic and environmental factors.
If a parent has eczema or some other atopic disorder, a child tends to acquire it.
The risk increases if both parents suffer from an atopic condition.
Environmental factors that could trigger a flare-up include:
Irritants – such as detergent, soaps, and shampoos.
Microbes – some fungi, viruses, and bacteria such as staphylococcus aureus.
Temperature – Extremes of temperature.
Food – Dairy foods, but, egg, etc.
Stress – It is known to make symptoms worse has it is not a direct cause of eczema.
Hormones – When there is a surge in female hormone during pregnancy and menstrual cycle, this could cause worsening of symptoms.
Treatment
Treatment can include a topical steroid cream and ointments, which helps in relieving inflammatory symptoms and itching.
Other options include oral systemic corticosteroids, antibiotics and an antihistamine.
Often time eczema and dermatitis are used interchangeably.
However, dermatitis is an umbrella term that is used to describe skin inflammation.
Generally, eczema is a kind of dermatitis caused by particular pathogenic microorganisms.
So, while eczemas are all dermatitis, not all dermatitis is eczema.
Eczema ICD 10
Eczema ICD 10 codes are located in chapter XII disease of the skin and subcutaneous L00-99, under block dermatitis and eczema L20-L30.
Note: In this block, eczema and dermatitis are used interchangeably, as they are synonymous.
Categories include:
Atopic dermatitis L20
Seborrheic dermatitis L21
Diaper dermatitis L22
Allergic contact dermatitis L23
Irritant contact dermatitis L24
Unspecified contact dermatitis L25
Exfoliative dermatitis L26
Dermatitis due to substances taken internally L27
Lichen simplex chronicus and prurigo L28
Pruritus L29
Other and unspecified dermatitis L30
They are billable/specific ICD 10 CM codes that can be used to indicate a diagnosis for reimbursement purposes.
Excludes:
Dermatitis gangrenosa (L08.0)
Dermatitis herpetiformis (L13.0)
Dry skin dermatitis (L85.3)
Factitial dermatitis (L98.1)
Perioral dermatitis (L71.0)
Dyshidrotic Eczema ICD 10
Dyshidrotic eczema ICD 10 is coded as L30.1 subcategory Dyshidrosis(pompholyx), located in chapter XII disease of the skin and subcutaneous L00-99, under block dermatitis and eczema L20-L30, category Other and unspecified dermatitis L30.
Synonyms:
Vesicular eczema of hands and feet
Excludes:
Xerosis cutie (Dry skin dermatitis) L85.3
Small plaque parapsoriasis (L41.3)
Eczema Unspecified ICD 10
Eczema unspecified ICD 10 is coded as L30.9 subcategory dermatitis unspecified, under category other and unspecified dermatitis L30.
Synonyms:
Acute dermatitis
Ezcema
Ezcema, non-allergic
Bilateral dermatitis of the external auditory canal
Perianal dermatitis
Nummular Eczema ICD 10
Nummular eczema ICD 10 is coded as L30.0 subcategory nummular dermatitis, under category other and unspecified dermatitis L30.
Synonyms:
Ezcema, Nummular
Discoid eczema
Microbial eczema
Nummular neurodermatitis
Exudative discoid eczema
Discoid eczema of hand and feet
Atopic Eczema ICD 10
Atopic eczema ICD 10 is a category coded with L20, located in chapter XII disease of the skin and subcutaneous L00-99, under block dermatitis and eczema L20-L30.
Subcategories include:
Besnier’s prurigo L20.0
Atopic neurodermatitis L20.81
Flexural eczema L20.82
Infantile (acute) (chronic) eczema L20.83
Intrinsic (allergic) eczema L20.84
Other atopic dermatitis L20.89
Atopic dermatitis, unspecified L20.9
Hand Eczema ICD 10
Hand and foot dermatitis is a common eczematous condition that affects the dorsal, palmar, and plantar portions of the hands and foot and can be caused by various factors.
Triggers such as dry winter air or scorching summer days make the hands good targets.
Flares on your fingertips, on the other hand, can be itchy and uncomfortable.
Depending on the reason, several types of eczema can affect your hands and foot, and it includes:
Irritant contact dermatitis is also known as irritant eczema, which is coded as L24.9 (irritant contact dermatitis, unspecified cause).
Allergic contact dermatitis is also known as allergic eczema, which is coded as L23.9 (Allergic contact dermatitis unspecified cause).
Dyshidrotic dermatitis is also referred to as pompholyx eczema, which is coded as L30.1.
Follicular Eczema ICD 10
Follicular eczema ICD 10 is also referred to as follicular dermatitis.
It is a skin disease condition characterized by inflammation of the hair follicles.
Follicular eczema can be a form of either Atopic dermatitis which is coded as L20.89 (other Atopic dermatitis).
It can be a form of contact dermatitis, which is coded as L24.9 (irritant contact dermatitis unspecified cause) or L23.9 (Allergic contact dermatitis unspecified cause).
Eczema Coxsackium ICD 10
It is an enteroviral infection affecting children following atopic dermatitis.
Lesions are characterized by vesicular, bullae eruption, and erosions affecting active and inactive Atopic dermatitis areas.
It is a form of Kaposi varicelliform eruption, Pustulosis varioliformis acute, and Kaposi-Juliusberg dermatitis.
Eczema Coxsackie ICD 10 is coded as B97.11 subcategory Coxsackievirus as the cause of diseases classified elsewhere, located in chapter I of Certain infectious and parasitic diseases A00-B99, Bacterial and viral infectious agents B95-B97, Viral agents as the cause of diseases classified elsewhere B97-.
Facial Eczema ICD 10
Facial eczema ICD 10 is coded L30.9 subcategory dermatitis unspecified, under category other and unspecified dermatitis L30.
ICD 10 Code For Eczema Legs
Leg eczema is coded L30.9 subcategory dermatitis unspecified, under category other and unspecified dermatitis L30.
ICD 10 Code For Flexural Eczema
Flexural eczema is L20.82, a billable code. It is located in chapter XII, skin disease and subcutaneous L00-99, under block dermatitis and eczema L20-L30. category Atopic dermatitis L20.
ICD 10 Code For Infantile Eczema
Infantile eczema is L20.83, a billable code. It is located in chapter XII, disease of the skin and subcutaneous L00-99, under block dermatitis and eczema L20-L30 category Atopic dermatitis L20.
Intrinsic Allergic Eczema ICD 10
Intrinsic allergic eczema is coded as L20.84, a billable code. It is located in chapter XII, disease of the skin and subcutaneous L00-99, under block dermatitis and eczema L20-L30. category Atopic dermatitis L20.
Venous Eczema
Venous eczema, otherwise known as stasis dermatitis, is coded as I87.2 Venous insufficiency (chronic) (peripheral), it is a billable code located in chapter IX Disease of circulatory system I00-99, Diseases of veins, lymphatic vessels, and lymph nodes not elsewhere classified I80-I89, Other disorders of veins I87-.
Synonyms:
Dermatitis stasis.
Diabetes type 2 with stasis ulcer.
Peripheral venous insufficiency.
Venous stasis ulceration of lower limb.
Eczema ICD 11
Eczema ICD 11 codes include:
Atopic eczema (EA80)
Infantile atopic eczema (EA80.0)
Childhood atopic eczema (EA80.1)
Adult atopic eczema (EA80.2)
Seborrhoeic dermatitis and related conditions (EA81)
Nummular dermatitis (EA82)
Lichen simplex or lichenification (EA83)
Asteatotic eczema (EA84)
Dermatitis or eczema of hands and feet (EA85)
Dermatitis and eczema of lower legs (EA86)
Dermatitis or eczema of the anogenital region (EA87)
Miscellaneous specified eczematous dermatoses (EA88)
Generalized eczematous dermatitis of unspecified type (EA89)
Other specified eczematous dermatosis (EA8Y)
Dermatitis or eczema, unspecified (EA8Z)
Eczematous nail dystrophy (EE13.5)
Lower limb venous eczema (EF70)
This content may be outdated
This article was published more than 1 year ago. While we strive to keep our content up to date, medical coding guidelines and regulations may have changed since then.
