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Home/Diagnosis/ICD-10 Coding for Keloid

ICD-10 Coding for Keloid

L91.0

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

Also Known as:
Keloid scar
Hypertrophic scar
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Key Information: ICD-10 Coding for Keloid

Essential facts and insights about ICD-10 Coding for Keloid

Use ICD-10 code L91.0 for hypertrophic scar, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Hypertrophic scar

Billable Code
L91.0
Billable

Diagnostic Criteria

clinical:
  • • Presence of a keloid with symptoms such as pain or functional impairment.
coding:
  • • Differentiate from acne-related keloids and non-hypertrophic scars.
documentation:
  • • Document location, size, and symptoms to support medical necessity.

Applicable To

  • • Keloid
  • • Keloid scar

Important Notes

  • • Ensure documentation specifies symptoms and functional impact to justify medical necessity.
Ancillary Codes

Additional codes that may be used with this diagnosis

T21.31XS

Burn sequela

Use when a keloid is a sequela of a burn, coded first before L91.0.

O34.2

Maternal care for uterine scar from previous surgery

Use in obstetric cases related to a previous uterine scar.

Frequently Asked Questions

What is the ICD-10 code for keloid?

The ICD-10 code for keloid is L91.0, which covers hypertrophic scars including keloid scars.

How do you document a keloid for medical necessity?

Document the keloid's size, location, symptoms like pain or itching, and any functional impairment to support medical necessity.

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