Find comprehensive information on Verrucous Keratosis including clinical documentation, ICD-10 codes (L57.0), differential diagnosis, histopathology, treatment options, and management strategies. This resource is designed for healthcare professionals, dermatologists, pathologists, and medical coders seeking accurate and relevant details on Verrucous Keratosis for improved patient care and accurate medical billing. Learn about the diagnostic criteria and clinical features of this epidermal lesion.
Also known as
Corns and callosities
Verrucous keratosis is classified within corns and callosities.
Other dermatoses
If not a typical corn/callus, it may fall under other skin conditions.
Other epidermal thickening
Verrucous keratosis involves thickened skin, so this may be relevant.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the verrucous keratosis (VK) of oral cavity?
Yes
Is it related to tobacco use?
No
Is the VK genital?
When to use each related code
| Description |
|---|
| Thick, wart-like skin growth. |
| Common wart, caused by HPV. |
| Plantar wart on the sole of the foot. |
Coding verrucous keratosis without specifying the anatomical location leads to claim rejections and inaccurate data reporting. Use ICD-10-CM codes L82.0-L82.9.
Coding a suspected or rule-out verrucous keratosis is inappropriate. Code the presenting symptoms or signs instead, impacting DRG assignment and reimbursement.
Documenting and coding the presence or absence of Human Papillomavirus (HPV) association impacts medical necessity for certain procedures and treatments, crucial for accurate coding.
Patient presents with a well-demarcated, hyperkeratotic, verrucous papulelesion consistent with a verrucous keratosis. The lesion is located on the [location of lesion - e.g., dorsum of the right hand]. It measures [size of lesion - e.g., 1.5 cm x 1.0 cm] and exhibits a rough, warty, or cauliflower-like surface. The color is [color of lesion - e.g., grayish-white to brown]. The patient reports [duration of lesion - e.g., a slow-growing lesion present for several months]. [Include information about associated symptoms such as pain, itching, bleeding, or tenderness, if present]. Differential diagnoses considered include seborrheic keratosis, actinic keratosis, squamous cell carcinoma in situ, and verruca vulgaris. A clinical diagnosis of verrucous keratosis is made based on visual inspection. [If a biopsy was performed, include the results here]. Treatment options including cryotherapy, surgical excision, topical medications such as imiquimod or 5-fluorouracil, and electrodessication and curettage were discussed with the patient. The patient opted for [chosen treatment] at this time. Patient education was provided regarding the nature of the lesion, treatment options, and the importance of follow-up. Follow-up appointment scheduled in [duration - e.g., 4 weeks] to monitor the lesion and assess treatment response. ICD-10 code L82 is documented for this encounter.