Find comprehensive information on Hidradenitis Suppurativa diagnosis, including clinical documentation, ICD-10 codes (L73.2), Hurley stages, and treatment options. This resource covers HS symptoms, differential diagnosis, medical coding guidelines, and best practices for healthcare professionals. Learn about the severity assessment, patient management, and accurate documentation of Hidradenitis Suppurativa for optimal patient care and accurate medical billing.
Also known as
Hidradenitis suppurativa
Chronic inflammatory skin disease with abscesses and scarring.
Diseases of the skin and subcutaneous tissue
Encompasses various skin conditions, including infections, inflammation, and ulcers.
Follicular and other disorders of the skin
Covers conditions affecting hair follicles and related skin structures.
Other disorders of the skin and subcutaneous tissue
Includes other specified and unspecified skin and subcutaneous tissue conditions.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the diagnosis Hidradenitis Suppurativa?
Yes
Is there abscess formation?
No
Do not code as Hidradenitis Suppurativa. Evaluate for other diagnoses.
When to use each related code
| Description |
|---|
| Recurrent inflamed nodules, abscesses, tunnels in skin folds |
| Deep, painful boils, single or multiple |
| Inflamed, blocked hair follicles, often with pustules |
Coding HS without specifying the affected body area (axilla, groin, etc.) leads to inaccurate severity and treatment reflection.
Mild HS (stage I) can be overlooked or miscoded as other skin conditions like folliculitis, impacting data on disease prevalence.
Incorrectly assigning Hurley stages (I, II, III) due to unclear documentation affects quality metrics and treatment planning.
Patient presents with complaints consistent with hidradenitis suppurativa (HS), also known as acne inversa. The patient reports recurrent painful nodules, abscesses, and draining tunnels in characteristic Hurley stage [I, II, or III] locations, including the axillae, groin, inframammary folds, and perianal area. Onset of symptoms was [duration] ago. Pain is described as [character and severity]. Associated symptoms include [e.g., malodor, purulent drainage, itching, burning]. Physical examination reveals [number] inflamed nodules, [number] abscesses with [character of drainage], and [presence or absence] of double comedones, sinus tracts, and scarring. The lesions are located in the [specific locations]. Differential diagnoses considered include furunculosis, carbunculosis, pilonidal cyst, and scrofuloderma. Diagnosis of hidradenitis suppurativa is made based on clinical presentation and patient history. Severity is assessed as [mild, moderate, or severe] based on Hurley staging and the Hidradenitis Suppurativa Physician Global Assessment (HS-PGA). Treatment plan includes [e.g., topical clindamycin, oral antibiotics such as doxycycline or tetracycline, adalimumab injection, surgical excision]. Patient education provided on wound care, pain management, lifestyle modifications including smoking cessation and weight management, and the chronic recurrent nature of the disease. Follow-up scheduled in [duration] to monitor treatment response and adjust management as needed. ICD-10 code L73.2 assigned.