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F42.4
ICD-10-CM
Skin Picking

Find comprehensive information on Skin Picking Disorder (SPD), also known as Dermatillomania or Excoriation Disorder. This resource covers clinical documentation, DSM-5 criteria, ICD-10 code L98.1 for Excoriation (skin picking), medical coding guidelines, and best practices for healthcare professionals. Learn about diagnosis, treatment options, and support resources for patients with compulsive skin picking.

Also known as

Excoriation Disorder
Dermatillomania

Diagnosis Snapshot

Key Facts
  • Definition : Recurrent skin picking resulting in skin lesions, distress, and impairment.
  • Clinical Signs : Excoriations, scabs, scars, infections. Often on face, arms, and hands.
  • Common Settings : Outpatient dermatology, psychiatry, or primary care. Therapy is common.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC F42.4 Coding
L98.1

Dermatitis artefacta

Self-inflicted skin lesions due to scratching or picking.

F63.8

Other impulse control disorders

Covers impulse control issues not elsewhere classified, sometimes including skin picking.

F42

Obsessive-compulsive disorder

May be relevant if skin picking is part of OCD rituals.

Z73.6

Problems related to lifestyle

Can be used for counseling related to habits like skin picking.

Code-Specific Guidance

Decision Tree for

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

Is skin picking behavior present?

  • Yes

    Clinically significant distress or impairment?

  • No

    Do not code skin picking.

Code Comparison

Related Codes Comparison

When to use each related code

Description
Recurrent skin picking resulting in lesions.
Body-focused repetitive behavior other than hair pulling or skin picking.
Obsessive-compulsive and related disorder NOS.

Documentation Best Practices

Documentation Checklist
  • Skin Picking Disorder diagnosis: DSM-5 criteria documented
  • Frequency, duration, and severity of picking behavior
  • Impairment or distress caused by Skin Picking Disorder
  • Impact on social, occupational functioning
  • Clinical evidence of excoriations, tissue damage

Coding and Audit Risks

Common Risks
  • Unspecified Severity

    Coding L98.1 lacks severity specificity (mild, moderate, severe) impacting reimbursement and quality reporting. CDI crucial for clarification.

  • Excoriation Miscoding

    Confusing excoriation (L98.8) as the primary diagnosis instead of L98.1 if picking is the cause. Accurate documentation is key.

  • Comorbidity Overlook

    Failing to code co-occurring mental health conditions like OCD or anxiety alongside L98.1, impacting treatment plans and resource allocation.

Mitigation Tips

Best Practices
  • ICD-10 L98.1 Excoriation disorder: Habit reversal training
  • SNOMED CT 312075000: Skin picking disorder: Stimulus control
  • Dermatillomania CDI: Track severity, triggers, and impact
  • Healthcare compliance: Document patient education on coping skills
  • L98.1 coding: Specify body sites affected by skin picking

Clinical Decision Support

Checklist
  • Recurrent skin picking resulting in lesions
  • Not attributable to effects of a substance or medical condition
  • Clinically significant distress or impairment
  • Not better explained by another mental disorder

Reimbursement and Quality Metrics

Impact Summary
  • Skin Picking (Excoriation Disorder): Reimbursement and Quality Metrics Impact Summary
  • Keywords: Medical Billing, ICD-10 L98.1, Coding Accuracy, Hospital Reporting, Excoriation, Self-Inflicted Skin Lesions, Mental Health, Dermatology
  • Impact 1: Accurate L98.1 coding maximizes appropriate reimbursement.
  • Impact 2: Misdiagnosis as dermatitis can lead to claim denials and revenue loss.
  • Impact 3: Proper coding supports quality reporting on mental health prevalence.
  • Impact 4: Skin picking data analysis can improve treatment efficacy monitoring.

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.

Frequently Asked Questions

Common Questions and Answers

Q: What are the most effective evidence-based treatment approaches for adults with chronic Skin Picking Disorder (Excoriation Disorder) resistant to first-line interventions?

A: For adults with chronic Skin Picking Disorder (Excoriation Disorder) resistant to first-line interventions like Habit Reversal Training (HRT), consider implementing a multi-pronged approach. Evidence suggests that combining HRT with Acceptance and Commitment Therapy (ACT) can improve treatment outcomes. Additionally, explore how pharmacotherapy, specifically selective serotonin reuptake inhibitors (SSRIs) or N-acetylcysteine (NAC), may be beneficial as an adjunct to behavioral therapies. It is crucial to conduct a thorough assessment of any co-occurring psychiatric conditions, such as anxiety or depression, as these can exacerbate skin picking. Addressing these comorbidities through appropriate interventions like Cognitive Behavioral Therapy (CBT) or medication can further enhance treatment efficacy. Learn more about integrating motivational interviewing techniques to address ambivalence towards treatment adherence.

Q: How can clinicians differentiate between Skin Picking Disorder (Excoriation Disorder), obsessive-compulsive disorder (OCD), and body-focused repetitive behavior (BFRB) like trichotillomania in a clinical setting?

A: Differentiating between Skin Picking Disorder (Excoriation Disorder), OCD, and other BFRBs like trichotillomania requires careful assessment. While these conditions share some overlapping features, key distinctions exist. In Skin Picking Disorder, the primary focus is on skin imperfections, leading to picking behavior. In contrast, OCD involves intrusive thoughts (obsessions) that trigger repetitive behaviors (compulsions) aimed at reducing anxiety. These compulsions are often unrelated to the skin. Similarly, trichotillomania involves hair pulling, not skin picking. Explore how the Skin Picking Impact Scale and the Milwaukee Inventory for Subtypes of Trichotillomania (MIST) can aid in differential diagnosis. Consider implementing a structured clinical interview that assesses the function of the behavior, the presence of premonitory urges, and the emotional consequences associated with each condition to arrive at an accurate diagnosis.

Quick Tips

Practical Coding Tips
  • Code L98.1 for Skin Picking
  • Excoriation disorder coding
  • Document picking frequency
  • Specify body sites affected
  • Note any psychosocial impact

Documentation Templates

Patient presents with skin picking disorder, also known as dermatillomania, excoriation disorder, or neurotic excoriation.  The patient reports recurrent skin picking resulting in skin lesions, clinically evident on examination.  The patient acknowledges attempts to stop skin picking but describes difficulty controlling the behavior.  The picking behavior causes significant distress and impairment in social, occupational, or other important areas of functioning.  The skin picking is not attributable to the physiological effects of a substance (e.g., cocaine) or another medical condition (e.g., scabies).  Symptoms are not better explained by another mental disorder such as trichotillomania, obsessive-compulsive disorder, body dysmorphic disorder, delusional infestation, or stereotypic movement disorder.  Differential diagnosis considered and ruled out includes other body-focused repetitive behaviors, substance-induced skin lesions, and medical conditions causing pruritus.  Assessment includes evaluation of the frequency, duration, and severity of skin picking, triggers, and associated thoughts and feelings.  Treatment plan may include cognitive behavioral therapy (CBT), habit reversal training (HRT), acceptance and commitment therapy (ACT), andor pharmacotherapy such as selective serotonin reuptake inhibitors (SSRIs).  Patient education provided on skin picking disorder, treatment options, and coping strategies.  Follow-up scheduled to monitor progress and adjust treatment as needed.  ICD-10 code L98.1, Excoriation (skin picking) disorder, is assigned.
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