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Home/Diagnosis/ICD-10 Coding for Lice Infestation

ICD-10 Coding for Lice Infestation

B85.0
B85.1
B85.3

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

Also Known as:
Pediculosis
Head Lice
Body Lice
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Key Information: ICD-10 Coding for Lice Infestation

Essential facts and insights about ICD-10 Coding for Lice Infestation

Use ICD-10 code B85.0 for pediculosis due to pediculus humanus capitis (head lice), ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pediculosis due to Pediculus humanus capitis (Head lice)

Billable Code
B85.0
Billable

Diagnostic Criteria

clinical:
  • • Presence of live lice or viable nits on scalp.
documentation:
  • • Documented visual inspection or microscopy confirmation.

Applicable To

  • • Head lice infestation

Important Notes

  • • Ensure documentation specifies the type of lice and location of infestation.

Pediculosis due to Pediculus humanus corporis (Body lice)

Billable Code
B85.1
Billable

Applicable To

  • • Body lice infestation

Important Notes

  • • Ensure documentation specifies the type of lice and location of infestation.

Phthiriasis (Pubic lice)

Billable Code
B85.3
Billable

Applicable To

  • • Pubic lice infestation

Important Notes

  • • Ensure documentation specifies the type of lice and location of infestation.

Mixed pediculosis and phthiriasis

Billable Code
B85.4
Billable

Applicable To

  • • Mixed lice infestation

Important Notes

  • • Ensure documentation specifies all affected areas and types of lice.
Ancillary Codes

Additional codes that may be used with this diagnosis

L98.8

Excoriation of skin

Use when there is documented scratching or skin lesions due to lice.

Frequently Asked Questions

What is the ICD-10 code for head lice?

The ICD-10 code for head lice is B85.0, which is used for infestations due to Pediculus humanus capitis.

How do you code mixed lice infestations?

Use ICD-10 code B85.4 for mixed pediculosis and phthiriasis when multiple lice types are present.

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