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L21.0
ICD-10-CM
Seborrheic Dermatitis of the Scalp

Find information on seborrheic dermatitis of the scalp, including clinical documentation tips, ICD-10 codes (L21.0, L21.8), medical coding guidelines, and healthcare best practices for diagnosis and treatment. Learn about the signs, symptoms, and differential diagnosis of scalp seborrheic dermatitis for accurate clinical documentation and appropriate medical billing. This resource provides healthcare professionals with essential information on managing and coding seborrheic dermatitis of the scalp.

Also known as

Dandruff
Cradle Cap
Pityriasis Capitis

Diagnosis Snapshot

Key Facts
  • Definition : Chronic inflammatory skin condition causing flaky, itchy, red skin.
  • Clinical Signs : Scaly patches, dandruff, redness, greasy or waxy yellow scales.
  • Common Settings : Scalp, eyebrows, face, chest, and other oily areas.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC L21.0 Coding
L21.0

Seborrheic dermatitis of scalp

Scalp inflammation with greasy scales.

L21.8

Seborrheic dermatitis, other

Seborrheic dermatitis affecting areas besides the scalp.

L21.9

Seborrheic dermatitis, unspecified

Seborrheic dermatitis without specific location.

L20-L30

Dermatitis and eczema

Encompasses various inflammatory skin conditions.

Code-Specific Guidance

Decision Tree for

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

Is the diagnosis seborrheic dermatitis of the scalp?

  • Yes

    Is there cradle cap (infantile seborrheic dermatitis)?

  • No

    Do not code as seborrheic dermatitis of scalp. Review diagnosis.

Code Comparison

Related Codes Comparison

When to use each related code

Description
Scalp seborrheic dermatitis
Scalp psoriasis
Tinea capitis (scalp ringworm)

Documentation Best Practices

Documentation Checklist
  • Scalp location, distribution of lesions
  • Lesion morphology: erythema, scaling, plaques
  • Symptoms: pruritus, flaking, dandruff
  • Associated findings: bleeding, excoriations
  • Rule out other scalp dermatoses: psoriasis, eczema

Coding and Audit Risks

Common Risks
  • Unspecified Location

    Coding L21.8, Seborrheic dermatitis, unspecified site, when scalp involvement is documented. Specificity impacts severity and treatment.

  • Infant vs. Adult Coding

    Incorrectly using L21.0, Seborrheic infantile dermatitis, for adults or vice-versa. Age-specific codes are crucial for accurate reporting.

  • Missing Severity Documentation

    Lack of documentation specifying mild, moderate, or severe seborrheic dermatitis hinders accurate coding and reimbursement.

Mitigation Tips

Best Practices
  • Use ICD-10 L21.0, specify site, document severity for accurate coding.
  • Record 'seborrheic dermatitis', NOT 'eczema' for scalp CDI compliance.
  • Shampoo with ketoconazole/selenium sulfide 2x/week, note response in chart.
  • Consider topical corticosteroids, document strength, frequency, and area.
  • Advise patients on trigger avoidance, document education for compliance.

Clinical Decision Support

Checklist
  • 1. Greasy, yellow scales on scalp? ICD-10: L21.0 Document location, severity.
  • 2. Dandruff-like flakes present? SNOMED CT: 424096000 Rule out psoriasis, eczema.
  • 3. Redness, itching noted? Document symptom duration, triggers. Consider comorbidities.
  • 4. Infant cradle cap? ICD-10: L21.9 Patient age crucial for accurate diagnosis.

Reimbursement and Quality Metrics

Impact Summary
  • Seborrheic dermatitis scalp ICD-10 coding (L21.-) impacts MS-DRG assignment and accurate hospital reimbursement.
  • Proper ICD-10 and CPT coding for seborrheic dermatitis treatment (e.g., shampoos, antifungals) maximizes claim acceptance.
  • Accurate seborrheic dermatitis diagnosis coding improves quality reporting metrics for skin conditions.
  • Precise documentation of seborrheic dermatitis severity and treatment response supports medical necessity for billed services.

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
  • Code L21.8 scalp seborrheic dermatitis
  • Specify infantile or adult seborrhea
  • Document location, severity, duration
  • Consider secondary infections, code if present
  • Rule out other scalp conditions in documentation

Documentation Templates

Patient presents with complaints consistent with seborrheic dermatitis of the scalp.  Symptoms include pruritus, flaking, dandruff, and erythema of the scalp.  Examination reveals greasy, yellowish scales and plaques on the scalp, with possible mild hair loss.  The patient reports the condition has been present for [duration] and [frequency descriptor, e.g., intermittent, persistent, worsening].  Differential diagnoses considered include psoriasis, atopic dermatitis, and tinea capitis.  Based on the clinical presentation and patient history, the diagnosis of seborrheic dermatitis of the scalp is established.  Treatment plan includes the use of topical antifungal shampoos containing ketoconazole or selenium sulfide, along with topical corticosteroids such as hydrocortisone or desonide as needed for inflammation.  Patient education provided regarding proper shampooing technique and the importance of adherence to the prescribed treatment regimen.  Follow-up appointment scheduled in [timeframe] to assess treatment response and adjust management as necessary.  ICD-10 code L21.0 Seborrheic dermatitis of scalp is assigned.  Medical billing codes for evaluation and management services, along with codes for prescribed medications, will be submitted accordingly.  Patient understands and agrees with the plan of care.