Find comprehensive information on Acne (Acne Vulgaris), including clinical documentation for healthcare professionals, medical coding insights for accurate billing (ICD-10 codes for Acne), and resources for diagnosing and managing various forms like Cystic Acne and Acné Excoriée. Learn about effective treatments, symptoms, and best practices for documenting Acne in medical records. This resource is designed to support accurate clinical documentation and optimized medical coding related to Acne.
Also known as
Acne
Covers various forms of acne, including vulgaris and cystic acne.
Other follicular disorders
Includes perifolliculitis capitis abscedens et suffodiens, related to acne.
Other disorders of skin and subcutaneous tissue
May be used for acne complications or related skin conditions not classified elsewhere.
Somatoform disorders
Relevant for Acné Excoriée, where psychological factors contribute to skin picking related to acne.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the acne keloidalis nuchae?
Yes
Code L73.0
No
Is the acne conglobata?
When to use each related code
| Description |
|---|
| Inflammatory skin condition with pimples, blackheads, etc. |
| Chronic inflammatory skin condition causing raised, red, scaly plaques. |
| Common, chronic skin rash involving itchy, inflamed skin. |
Coding acne without specifying type (e.g., vulgaris, cystic) may lead to claim rejection for insufficient documentation. Impacts accurate severity reflection.
Incorrectly coding acne scarring with active acne or vice versa. Distinct codes are required based on the condition's presentation.
Lack of documentation supporting medical necessity for acne treatments (e.g., isotretinoin) can raise audit flags and denial risks. Document severity and prior treatments.
Q: What are the most effective evidence-based treatment strategies for managing moderate to severe acne vulgaris in adult patients with sensitive skin?
A: Managing moderate to severe acne vulgaris in adult patients with sensitive skin requires a multifaceted approach tailored to individual needs. Topical retinoids like tretinoin are considered first-line therapy, but their irritancy can be challenging. Strategies to mitigate this include starting with a low concentration (0.025%), applying on alternate nights, or using a "sandwich technique" where a moisturizer is applied before and after the retinoid. Combination therapy with topical antibiotics like clindamycin can enhance efficacy and reduce inflammation. For patients with persistent or recalcitrant acne, oral antibiotics such as doxycycline may be considered for short courses. However, the rise of antibiotic resistance necessitates cautious use. Hormonal therapies like combined oral contraceptives can be beneficial for women with hormonally influenced acne. Isotretinoin remains the most effective treatment for severe nodulocystic acne, but its teratogenic potential necessitates careful patient selection and monitoring. Explore how incorporating anti-inflammatory agents like azelaic acid or niacinamide can further support treatment and minimize irritation in sensitive skin. Consider implementing a comprehensive skincare routine including gentle cleansers and non-comedogenic moisturizers to optimize outcomes. Learn more about emerging therapies like light and laser treatments for acne.
Q: How can I differentiate between acne excoriée and other forms of acne, and what are the best psychological and dermatological management strategies?
A: Acne excoriée, also known as skin picking disorder, presents as inflamed lesions and scars resulting from compulsive picking or scratching, often triggered by minor acne imperfections. Distinguishing it from other acne types involves assessing the patient's history and observing the characteristic pattern of excoriations, often concentrated in accessible areas. While primary acne lesions might be present, the dominant clinical feature is the self-inflicted damage. Management necessitates a combined psychological and dermatological approach. Cognitive behavioral therapy (CBT) and habit reversal training (HRT) are effective psychological interventions, helping patients identify triggers, develop coping mechanisms, and break the picking cycle. Dermatological management addresses underlying inflammation and promotes skin healing. Topical retinoids and antibiotics can help reduce initial acne lesions, while topical corticosteroids may be used judiciously for short periods to alleviate inflammation from picking. Consider implementing mindfulness techniques and stress management strategies to support psychological well-being. Explore how collaboration with mental health professionals can optimize outcomes in patients with acne excoriée.
Patient presents with acne vulgaris, characterized by comedones, papules, pustules, and nodules consistent with inflammatory acne. The patient reports a history of acne breakouts, with current exacerbation impacting the face, chest, and back. Severity is assessed as moderate based on lesion count and distribution. Differential diagnoses considered include rosacea and folliculitis. The patient denies any known allergies. Family history is positive for acne. Current skincare regimen includes over-the-counter benzoyl peroxide wash. Treatment plan includes initiating topical retinoid therapy with tretinoin cream 0.025% applied nightly. Patient education provided on proper application, potential side effects such as dryness and irritation, and the importance of sun protection. Discussed the potential for oral antibiotic therapy if topical treatment is insufficient. Follow-up appointment scheduled in 4 weeks to assess treatment response and adjust management as needed. ICD-10 code L70.0 assigned for acne vulgaris. Counseling provided regarding acne scar prevention and treatment options if scarring develops. Patient acknowledges understanding of the treatment plan and potential outcomes.