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L98.0
ICD-10-CM
Pyogenic Granuloma

Learn about pyogenic granuloma diagnosis, including clinical documentation, ICD-10 codes (L98.1), SNOMED CT concepts, and medical coding guidelines. Find information on pyogenic granuloma treatment, histopathology, and differential diagnosis for accurate healthcare coding and documentation. This resource provides essential information for physicians, clinicians, and medical coders seeking accurate and comprehensive details on pyogenic granuloma.

Also known as

Lobular Capillary Hemangioma
Granuloma Pyogenicum

Diagnosis Snapshot

Key Facts
  • Definition : Benign, vascular skin growth, often bleeds easily.
  • Clinical Signs : Red, raised nodule, may be smooth or lobulated, frequent on fingers, face, or toes.
  • Common Settings : Trauma sites, pregnancy, during infancy or childhood.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC L98.0 Coding
L98.1

Granuloma pyogenicum

A common benign vascular lesion.

L98

Other benign skin lesions

Includes various non-cancerous skin growths.

L00-L99

Diseases of the skin and subcu

Encompasses a wide array of skin conditions.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the diagnosis confirmed as Pyogenic Granuloma?

  • Yes

    Is the lesion on the gingiva?

  • No

    Do not code as Pyogenic Granuloma. Review the clinical documentation for the correct diagnosis.

Code Comparison

Related Codes Comparison

When to use each related code

Description
Rapidly growing, friable bleeding nodule
Peripheral giant cell granuloma
Cherry angioma (Campbell de Morgan spot)

Documentation Best Practices

Documentation Checklist
  • Pyogenic granuloma diagnosis, ICD-10 L98.1
  • Document lesion site, size, morphology
  • Describe color, texture, bleeding tendency
  • History of trauma or irritation to area
  • Confirm diagnosis via clinical exam/biopsy

Coding and Audit Risks

Common Risks
  • Unspecified Site

    Coding Pyogenic Granuloma without specifying the anatomical location leads to rejected claims and inaccurate data reporting. Use precise site-specific ICD-10 codes.

  • Granulation Tissue Confusion

    Miscoding other granulation tissues (e.g., exuberant granulation) as Pyogenic Granuloma results in inaccurate clinical documentation and skewed quality metrics. CDI crucial for clarity.

  • Missing Pregnancy Status

    Failing to document pregnancy status for Pyogenic Granuloma in pregnant patients affects risk adjustment and complicates medical necessity audits. ICD-10 O codes mandatory when applicable.

Mitigation Tips

Best Practices
  • Document lesion morphology, size, location for accurate ICD-10 coding (L98.1)
  • Confirm diagnosis via histopathology; avoid coding based on clinical presentation alone
  • Differentiate pyogenic granuloma from other vascular lesions for proper HCC coding
  • Ensure CDI aligns clinical findings with pathology reports for compliant billing
  • Monitor lesion regression; document treatment and follow-up for optimal reimbursement

Clinical Decision Support

Checklist
  • Confirm rapid growth, friable red nodule
  • Verify common locations: fingers, hands, face
  • Exclude other vascular lesions via biopsy if needed
  • Document size, color, location, and bleeding tendency
  • Consider pregnancy as a risk factor

Reimbursement and Quality Metrics

Impact Summary
  • Pyogenic Granuloma reimbursement hinges on accurate ICD-10-CM (L98.1) and CPT coding (e.g., 11200, 17110) for optimal claims processing.
  • Quality metrics impact: Timely diagnosis and treatment influence patient satisfaction scores and HCAHPS measures.
  • Coding accuracy directly impacts case mix index (CMI) and subsequent hospital reimbursement for Pyogenic Granuloma.
  • Precise documentation of lesion size and location influences appropriate CPT code selection, impacting hospital revenue.

Streamline Your Medical Coding

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

Quick Tips

Practical Coding Tips
  • Code L98.1 for pyogenic granuloma
  • Document lesion site precisely
  • Confirm diagnosis histologically
  • Consider pregnancy-related codes
  • Exclude other vascular lesions

Documentation Templates

Patient presents with a pyogenic granuloma, clinically identified as a lobular capillary hemangioma.  The lesion, measuring [measurement in millimeters] in diameter, is located on the [location of lesion, e.g., gingiva, finger, lip].  It exhibits characteristics consistent with a pyogenic granuloma, including a friable, red-to-purple, exophytic nodule with a smooth or slightly irregular surface.  The lesion is [pedunculated or sessile] and [tender or nontender] upon palpation.  Patient reports the lesion [is or is not] prone to bleeding, especially with minor trauma.  The onset of the lesion was approximately [duration] ago.  Differential diagnosis includes peripheral giant cell granuloma, hemangioma, and squamous cell carcinoma.  The patient's medical history is significant for [relevant medical history, e.g., pregnancy, trauma to the area].  No lymphadenopathy was noted.  Treatment options including excisional biopsy, curettage, cryotherapy, and silver nitrate application were discussed.  The risks and benefits of each procedure were explained, and the patient elected [chosen treatment].  A biopsy will be sent for histopathological analysis to confirm the diagnosis.  Follow-up appointment scheduled in [timeframe] to monitor healing and assess for recurrence.  ICD-10 code L98.1 is documented for this encounter.  CPT code [relevant CPT code, e.g., 11400, 17110] will be used for billing, depending on the performed procedure.  Patient education provided regarding wound care and signs of infection.
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