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L30.4
ICD-10-CM
Intertriginous Rash

Find information on intertriginous rash diagnosis, including clinical documentation, ICD-10 codes (L30.4, L29.89), differential diagnosis, treatment, and prevention. Learn about common locations like the groin, axilla, and skin folds, and associated symptoms such as erythema, maceration, and pruritus. This resource provides guidance for healthcare professionals on accurate medical coding and best practices for managing intertriginous dermatitis.

Also known as

Intertrigo
Intertriginous Dermatitis

Diagnosis Snapshot

Key Facts
  • Definition : Inflammation of skin folds caused by friction and moisture.
  • Clinical Signs : Redness, itching, burning, scaling, maceration, fissures in body folds.
  • Common Settings : Armpits, groin, under breasts, between toes, skin folds in obese patients.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC L30.4 Coding
L30.4

Intertrigo

Inflammation of skin folds, often caused by friction and moisture.

L29

Pruritus

Itching of the skin without a primary skin lesion.

L00-L08

Infections of the skin and subcutaneous tissue

Bacterial, viral, fungal, and parasitic infections of the skin.

L20-L30

Dermatitis and eczema

Inflammatory skin conditions causing itching, redness, and scaling.

Code Comparison

Related Codes Comparison

When to use each related code

Description
Rash in skin folds
Candidiasis (Yeast Infection)
Inverse Psoriasis

Documentation Best Practices

Documentation Checklist
  • Document rash location (skin folds)
  • Describe lesion morphology (e.g., erythema, maceration)
  • Note any secondary infections (candidiasis, bacteria)
  • Document associated symptoms (pruritus, burning)
  • Rule out differential diagnoses (psoriasis, eczema)

Coding and Audit Risks

Common Risks
  • Unspecified Location

    Coding intertriginous rash without specifying the affected body area leads to inaccurate coding and claims.

  • Underlying Cause

    Failing to code the underlying cause (e.g., infection, allergy) alongside the rash can impact reimbursement and quality metrics.

  • Documentation Clarity

    Vague documentation lacking details like morphology or severity hinders accurate code assignment and audit defense.

Mitigation Tips

Best Practices
  • Dry affected area thoroughly. ICD-10: L30.4, CDI: Intertrigo
  • Apply barrier creams/powders. ICD-10: L30.9, CDI: Skin Irritation
  • Loose clothing, breathable fabrics. ICD-10: L30.9, CDI: Sweat Rash
  • Weight management if needed. ICD-10: E66.9, CDI: Obesity complicating
  • Topical antifungals/antibacterials if infected. ICD-10: B37.9, CDI: Candidiasis

Clinical Decision Support

Checklist
  • Confirm rash location: skin folds (ICD-10 L30.4)
  • Assess for inflammation, maceration, satellite lesions
  • Rule out infection: candidiasis, dermatophytosis (SNOMED CT 238534002)
  • Evaluate for secondary infection signs (pus, fever)

Reimbursement and Quality Metrics

Impact Summary
  • Intertriginous Rash reimbursement hinges on accurate ICD-10-CM (L30.4) and CPT coding for appropriate evaluation and management services.
  • Quality metrics impacted: Documentation of rash characteristics, location, severity, and treatment response crucial for accurate reporting.
  • Coding accuracy directly affects hospital revenue cycle management for Intertriginous Rash cases. Proper documentation supports medical necessity.
  • Hospital reporting accuracy for Intertriginous Rash improves with standardized documentation and coding, impacting skin and wound care metrics.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Document location, morphology
  • Rule out infection, specify type
  • Consider underlying conditions like diabetes
  • Code L30.4, add laterality if known
  • Check ICD-10-CM guidelines for combination codes

Documentation Templates

Patient presents with complaints consistent with intertriginous rash.  Affected area located in the [Specify location: e.g., inguinal folds, axillae, inframammary folds, gluteal cleft].  Skin examination reveals [Describe lesion morphology: e.g., erythema, maceration, erosions, fissures, scaling, pustules].  Symptoms reported include [Specify symptoms: e.g., pruritus, burning, pain, malodor].  Differential diagnosis includes intertrigo, candidiasis, contact dermatitis, seborrheic dermatitis, inverse psoriasis, and erythrasma.  Based on clinical presentation, intertrigo is the most likely diagnosis.  Contributing factors considered include friction, moisture, heat, and obesity.  No fever or systemic symptoms noted.  Patient denies recent antibiotic use.  KOH preparation [positive/negative] for fungal elements.  Treatment plan includes keeping the affected area clean and dry, applying [Specify topical medication: e.g., topical antifungal cream, barrier cream, topical corticosteroid], and weight management counseling as appropriate.  Patient education provided on hygiene practices and preventative measures such as using absorbent powders and loose-fitting clothing.  Follow-up recommended in [Specify timeframe: e.g., two weeks] to assess response to treatment.  ICD-10 code L30.4, Intertrigo, assigned.