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L91.8
ICD-10-CM
Skin Tag

Find comprehensive information on skin tag diagnosis, including clinical documentation, ICD-10 codes (L91.9, D22.6), SNOMED CT concepts, and appropriate medical coding terminology. Learn about acrochordon, fibroepithelial polyp, soft fibroma, and skin tag removal procedures for accurate healthcare records and billing. Explore reliable resources for dermatology coding and clinical documentation best practices related to skin tags.

Also known as

Acrochordon
Fibroepithelial Polyp
pedunculated papilloma

Diagnosis Snapshot

Key Facts
  • Definition : Small, benign skin growths that hang off the skin by a stalk.
  • Clinical Signs : Soft, skin-colored or slightly darker papules or nodules, typically painless.
  • Common Settings : Neck, armpits, groin, eyelids, under breasts; often develop with friction or in skin folds.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC L91.8 Coding
L91.8

Other specified hypertrophic skin lesions

This code encompasses various skin overgrowths, including skin tags.

L91.9

Hypertrophic skin lesion, unspecified

Use this code for hypertrophic skin lesions when a more specific code is not available.

D23.9

Benign neoplasm of skin, unspecified

While less precise, this can be used if skin tags are considered benign neoplasms.

Code-Specific Guidance

Decision Tree for

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

Is the skin tag (acrochordon) confirmed?

  • Yes

    Is there inflammation or infection?

  • No

    Do not code skin tag. Evaluate for other diagnoses.

Code Comparison

Related Codes Comparison

When to use each related code

Description
Small, soft, skin growth
Wart-like viral infection
Raised, pigmented spot

Documentation Best Practices

Documentation Checklist
  • Skin tag diagnosis: ICD-10-CM code L91.9
  • Document size, color, morphology, number, and location
  • Confirm benign nature, rule out other skin lesions
  • Patient understanding documented, treatment options discussed
  • Surgical removal: method and anesthesia if applicable

Coding and Audit Risks

Common Risks
  • Unspecified Location

    Coding skin tag without specifying the anatomical site leads to inaccurate data and potential claim rejections. Use precise location codes for proper reimbursement.

  • Benign vs. Malignant

    Misdiagnosis between skin tag (benign) and malignant lesions impacts treatment and coding. Proper clinical documentation is crucial for accurate coding and care.

  • Multiple vs. Single Lesion

    Distinguishing between multiple and single skin tags affects code selection. Precise documentation of the number of lesions is essential for accurate billing.

Mitigation Tips

Best Practices
  • Document precise location, size, morphology for accurate ICD-10 coding (L91.9).
  • Ensure CDI aligns documentation with skin tag removal procedure codes (e.g., 11200).
  • Adhere to informed consent protocols before any skin tag procedure for compliance.
  • Photography aids diagnosis, treatment planning, and supports medical necessity documentation.
  • Evaluate for other skin conditions during examination, optimizing E/M coding.

Clinical Decision Support

Checklist
  • 1. Soft, skin-colored papule or nodule? ICD-10 L91.9, D22.6
  • 2. Pedunculated or sessile lesion? Document size and location.
  • 3. Asymptomatic? Rule out other skin conditions (e.g., warts).
  • 4. Consider dermoscopy if diagnosis uncertain. SNOMED CT 701955009

Reimbursement and Quality Metrics

Impact Summary
  • Skin Tag reimbursement: CPT 11200-11201, ICD-10 L91.9 impacts claim accuracy, affecting hospital revenue cycle.
  • Coding accuracy for Skin Tag diagnosis (L91.9) ensures proper APC assignment and appropriate Medicare severity DRG.
  • Quality metrics: Accurate Skin Tag coding (benign neoplasm) affects hospital quality reporting data for dermatological services.
  • Hospital reporting: Precise Skin Tag documentation and coding impacts case mix index (CMI) and resource utilization data.

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 D22.6 for skin tag
  • ICD-10-CM D22.6: Acrochordon
  • Document size, location, number
  • Consider SNOMED CT for details
  • Link to relevant history/exam

Documentation Templates

Patient presents with a complaint of skin tag(s).  Examination reveals a small, soft, flesh-colored or slightly hyperpigmented pedunculated papilloma.  The lesion(s) is are asymptomatic or minimally symptomatic, described as perhaps catching on clothing or jewelry.  Locations of the skin tag(s) are documented (e.g., neck, axilla, groin, eyelids).  The lesion(s) is are consistent with acrochordon, also known as a fibroepithelial polyp.  Differential diagnoses considered include nevus, seborrheic keratosis, and other benign skin lesions.  No signs of inflammation, bleeding, or ulceration are noted.  Patient education provided regarding the benign nature of skin tags, treatment options including cryotherapy, excision, ligation, and observation, and potential for recurrence.  Patient elected for (state treatment chosen, e.g., cryotherapy, no treatment, follow-up).  ICD-10 code L91.9 (Benign neoplasm of skin and subcutaneous tissue, unspecified) is assigned.  CPT code (if procedure performed, e.g., 17110 for destruction, benign lesions; 11200 for removal of skin tags, simple; 11201 for removal of skin tags, complex) is assigned.  Follow-up recommended as needed.
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