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L85.3
ICD-10-CM
Xerosis

Find information on xerosis (dry skin), including clinical documentation tips, medical coding guidelines (ICD-10 codes), symptoms, causes, and treatment options. Learn about diagnosing and managing xerosis cutis, asteatosis, and skin dryness from a healthcare perspective. This resource provides valuable insights for healthcare professionals on proper documentation and coding related to xerosis.

Also known as

Dry Skin
Xerosis Cutis

Diagnosis Snapshot

Key Facts
  • Definition : Dry skin caused by reduced water content.
  • Clinical Signs : Rough, scaly, itchy skin; cracking; inflammation.
  • Common Settings : Elderly, atopic dermatitis, winter climates, frequent bathing.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC L85.3 Coding
L85.0-L85.9

Other disorders of skin

Includes xerosis cutis, acquired ichthyosis, and other specified disorders of skin.

L85.3

Acquired ichthyosis

A condition characterized by dry, thickened, scaly skin similar to xerosis but often associated with systemic disease.

L00-L99

Diseases of the skin and subcutaneous tissue

This broad category encompasses various skin conditions, including xerosis as a symptom or manifestation.

Code-Specific Guidance

Decision Tree for

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

Is xerosis associated with other conditions?

  • Yes

    Is it ichthyosis?

  • No

    Code L85.3 Xerosis cutis

Code Comparison

Related Codes Comparison

When to use each related code

Description
Dry skin
Eczema (Atopic Dermatitis)
Ichthyosis vulgaris

Documentation Best Practices

Documentation Checklist
  • Xerosis ICD-10 code (L85.3)
  • Symptoms: dry skin, roughness, scaling
  • Onset and duration of symptoms
  • Location and distribution of xerosis
  • Associated factors: e.g., weather, soaps

Coding and Audit Risks

Common Risks
  • Unspecified Xerosis

    Coding xerosis without laterality or site may lead to claim denials or inaccurate severity reflection, impacting reimbursement.

  • Xerosis vs. Dermatitis

    Miscoding xerosis as dermatitis or vice versa due to similar symptoms can skew data reporting and quality metrics.

  • Underlying Cause Missed

    Failing to code the underlying condition causing xerosis (e.g., hypothyroidism) leads to incomplete clinical picture and inaccurate risk adjustment.

Mitigation Tips

Best Practices
  • ICD-10 L85.3: Moisturize regularly, avoid harsh soaps.
  • Clinical documentation: Specify dry skin location, severity.
  • Healthcare compliance: Educate on preventative skincare.
  • CPT 99213: Evaluate xerosis, counsel patient on emollients.
  • HCPCS A6250: Prescribe barrier creams for at-risk skin.

Clinical Decision Support

Checklist
  • 1. Dry skin confirmed visually: roughness, scaling?
  • 2. Patient reports itching, tightness, or cracking?
  • 3. Assess for contributing factors: age, climate, soaps?
  • 4. Rule out other dermatoses: eczema, psoriasis, etc.?

Reimbursement and Quality Metrics

Impact Summary
  • Xerosis coding accuracy impacts reimbursement for emollients and corticosteroids.
  • Proper Xerosis documentation improves quality reporting metrics for skin integrity.
  • Accurate Xerosis ICD-10 coding (L85.X) maximizes appropriate hospital reimbursement.
  • Untreated Xerosis can lead to complications, impacting hospital readmission rates and costs.

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 Xerosis, not dry skin
  • ICD-10: L85.3 for xerosis cutis
  • Specify site for localized xerosis
  • Rule out underlying causes
  • Document severity and symptoms

Documentation Templates

Patient presents with complaints of dry skin (xerosis cutis), consistent with symptoms of dry, rough, and itchy skin.  The patient reports pruritus, scaling, and skin tightness, particularly on the extremities and trunk.  On examination, the skin appears dry, flaky, and possibly erythematous.  No evidence of fissuring, cracking, or bleeding was observed.  The patient denies any recent changes in skincare products, medications, or environmental exposures.  Assessment includes xerosis, ICD-10 code L85.3.  Differential diagnoses considered include atopic dermatitis, contact dermatitis, and psoriasis.  These were ruled out based on clinical presentation and patient history.  The patient was educated on the importance of regular moisturizing with emollients containing ceramides, humectants like hyaluronic acid, and occlusives such as petrolatum.  Recommendations were provided for lukewarm showers, avoidance of harsh soaps, and the use of a humidifier.  Follow-up is recommended if symptoms worsen or do not improve with conservative management.  Plan includes patient education on skincare and dry skin treatment options.