ICD Code L73.2

ICD code L73.2 is a classification used to identify and document the condition known as hidradenitis suppurativa. This is a chronic skin disease characterized by recurrent, painful lumps under the skin, typically in areas where skin rubs together, such as the armpits, groin, and under the breasts. The lumps can become inflamed and may lead to abscesses or scarring over time. This code is used by healthcare providers to ensure accurate diagnosis and facilitate appropriate treatment planning, as well as for billing and insurance purposes within the healthcare revenue cycle.

1. Presence of Painful Nodules: The patient exhibits painful, deep-seated nodules, typically located in areas where skin rubs together, such as the armpits, groin, buttocks, or under the breasts.

2. Recurrent Abscess Formation: There is a history of recurrent abscesses or boils in the affected areas, which may rupture and drain pus.

3. Chronic Inflammation: The condition is characterized by chronic inflammation, with symptoms persisting for at least six months.

4. Sinus Tract Formation: The development of sinus tracts or tunnels under the skin, which can connect different abscesses, is observed.

5. Scarring and Skin Changes: The presence of scarring, skin thickening, or pitted skin changes in the affected areas due to repeated episodes of inflammation and healing.

6. Family History: A family history of similar symptoms or diagnosis may be present, suggesting a genetic predisposition.

7. Exclusion of Other Conditions: Other potential causes of similar symptoms, such as infections or other dermatological conditions, have been ruled out through clinical evaluation and diagnostic testing.

8. Impact on Quality of Life: The condition significantly impacts the patient's quality of life, causing physical discomfort, emotional distress, or social embarrassment.

9. Age of Onset: Symptoms typically begin after puberty, often in the late teens or early twenties, although they can occur at any age.

10. Gender Predilection: While it can affect anyone, there is a higher prevalence in females compared to males.

For the ICD code L73.2, which is associated with Hidradenitis suppurativa, the relevant CPT codes that may be applicable for treatment include:

1. 10060 - Incision and drainage of abscess; simple or single.
2. 10061 - Incision and drainage of abscess; complicated or multiple.
3. 11400-11406 - Excision of benign lesions, depending on the size and location.
4. 11420-11426 - Excision of benign lesions, scalp, neck, hands, feet, genitalia, depending on the size.
5. 11440-11446 - Excision of benign lesions, face, ears, eyelids, nose, lips, mucous membrane, depending on the size.
6. 11900 - Injection, intralesional; up to and including 7 lesions.
7. 11901 - Injection, intralesional; more than 7 lesions.
8. 17000 - Destruction (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (e.g., actinic keratoses); first lesion.
9. 17003 - Destruction, premalignant lesions; second through 14 lesions, each (List separately in addition to code for first lesion).
10. 17004 - Destruction, premalignant lesions; 15 or more lesions.

These CPT codes are typically used for procedures that may be performed in the management of Hidradenitis suppurativa, depending on the severity and specific treatment plan determined by the healthcare provider. Always consult with the latest coding guidelines and payer policies for accurate coding and billing.

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