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Home/Diagnosis/ICD-10 Coding for Itching Skin

ICD-10 Coding for Itching Skin

L29.8
L29.81
L20.84

Complete ICD-10-CM coding and documentation guide for icd-10 coding for itching skin includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Pruritus
Generalized Itching
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Key Information: ICD-10 Coding for Itching Skin

Essential facts and insights about ICD-10 Coding for Itching Skin

Use ICD-10 code L29.8 for other pruritus, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Other pruritus

Non-Billable
L29.8
Non-Billable

Diagnostic Criteria

clinical:
  • • Presence of itching without a primary skin condition
documentation:
  • • Absence of specific dermatoses in documentation

Applicable To

  • • Localized itching
  • • Generalized itching without dermatosis

Important Notes

  • • Ensure documentation specifies the absence of a primary dermatosis.

Cholestatic pruritus

Billable Code
L29.81
Billable

Diagnostic Criteria

clinical:
  • • Elevated liver function tests
  • • Imaging or biopsy confirming liver disease

Applicable To

  • • Pruritus associated with liver disease

Important Notes

  • • Ensure liver disease is documented and coded prior to L29.81.

Intrinsic (allergic) eczema

Billable Code
L20.84
Billable

Diagnostic Criteria

clinical:
  • • History of atopy
  • • Chronic pruritus with eczema flares

Applicable To

  • • Atopic dermatitis with pruritus

Important Notes

  • • Document history of atopy and eczema characteristics.
Ancillary Codes

Additional codes that may be used with this diagnosis

T45.1X5A

Adverse effect of antineoplastic and immunosuppressive drugs

Use when pruritus is due to an adverse reaction to these drugs.

K74.60

Biliary cirrhosis, unspecified

Use to specify the underlying liver condition causing pruritus.

Frequently Asked Questions

What is the ICD-10 code for itching skin?

The ICD-10 code for generalized itching skin without a specific dermatosis is L29.8. For cholestatic pruritus, use L29.81, effective from October 2024.

How do you code pruritus due to liver disease?

Code the underlying liver disease first, such as K74.60 for biliary cirrhosis, followed by L29.81 for cholestatic pruritus.

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