You would code moisture associated skin damage in ICD-10 using the L category codes for skin disorders, specifically L22 for diaper dermatitis and L23 for irritant contact dermatitis.
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Moisture associated skin damage is a common condition that can occur when the skin is exposed to prolonged moisture, including incontinence or excessive sweating. It can lead to inflammation, redness, and breakdown of the skin. In order to code this condition in ICD-10, one would use the L category codes for skin disorders.
Specifically, L22 should be used for diaper dermatitis, which is a common form of moisture-associated skin damage in infants and young children who wear diapers. L23 should be used for irritant contact dermatitis, which can be caused by contact with irritants like urine or feces.
It is important to accurately code moisture-associated skin damage, as it can impact treatment decisions and reimbursement for healthcare services. According to the American Health Information Management Association, “accurate and complete coding ensures that necessary information is available for epidemiological and public health research, for assessing health care outcomes, and for appropriate payment for medical services.”
Overall, coding moisture-associated skin damage in ICD-10 requires knowledge of the correct category codes based on the specific condition present.
As Aristotle once said, “Knowing yourself is the beginning of all wisdom,” and having a clear understanding of how to code skin conditions is a crucial part of providing accurate healthcare services and improving patient outcomes.
Table:
ICD-10 Code
Condition
L22
Diaper dermatitis
L23
Irritant contact dermatitis
See a video about the subject.
The video discusses the various types of moisture-associated skin damage (MASD), including Para-stoma dermatitis, incontinence-associated dermatitis, periwound dermatitis, and intertriginous dermatitis caused by perspiration in skin folds. The speaker emphasizes the need for clinicians to accurately report all incidents of MASD to identify the true range of cases. They also touch on the various treatment options for MASD, including using moisture-wicking textiles with silver, proper skin hygiene, and the use of Intrasite, a low-friction moisture-wicking fabric that can prevent and treat MASD.
IRRITANT CONTACT DERMATITIS DUE TO EXPOSURE TO UNSPECIFIED MOISTURE SOURCE (ICD-10-CM CODE L24.A0)
ICD-10-CM L30.4 is the code for moisture-associated skin damage. The condition is caused by moisture and friction and is characterized by erythema, maceration, burning, and exudation. The code is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 606 Minor skin disorders with mcc and 607 Minor skin disorders without mcc. Alternatively, Irritant contact dermatitis, unspecified cause 1 L24.9 is another ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The condition is caused by moisture and friction and is characterized by erythema, maceration, burning, and exudation. Superficial dermatitis on opposed skin surfaces. ICD-10-CM L30.4 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 606 Minor skin disorders with mcc. 607 Minor skin disorders without mcc.
Irritant contact dermatitis, unspecified cause
L24.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2023 edition of ICD-10-CM L24.9 became effective on October 1, 2022.
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What is moisture-associated skin damage?
Response will be: Moisture-associated skin damage (MASD) is caused by prolonged exposure to various sources of moisture, including urine or stool, perspiration, wound exudate, mucus, saliva, and their contents. MASD is characterized by inflammation of the skin, occurring with or without erosion or secondary cutaneous infection.
What is the ICD-10 code for moisture-associated skin damage buttocks?
2023 ICD-10-CM Diagnosis Code L98. 411: Non-pressure chronic ulcer of buttock limited to breakdown of skin.
What is Peristomal moisture-associated skin damage?
Peristomal moisture-associated dermatitis was defined as inflammation and denudation of skin adjacent to a stoma associated with exposure to effluent, such as urine or stool.
What is moisture-associated skin dermatitis?
Response will be: Moisture-associated skin damage (MASD) occurs when skin is repeatedly exposed to various sources of bodily secretions or effluents, often leading to irritant contact dermatitis, characterized by inflammation with or without denudation of affected skin.
What is moisture-associated skin damage?
Learn how 3M puts skin at the center of care. Moisture-associated skin damage (MASD) is a complex and common condition that can create negative patient experiences and increase the cost of care.¹ MASD is caused by prolonged exposure to moisture including, but not limited to wound exudate, perspiration, urine and stool and saliva.
What are irritant contact dermatitis codes?
The various MASD codes are classified as irritant contact dermatitis. 12 Many substances have the potential for causing irritant contact dermatitis including chemicals, drugs, cosmetics, detergents, dyes, foods, and contact with animals or plants, among other substances. In the ICD-10-CM system, irritant codes begin with L24 or L25.
What is periwound moisture-associated dermatitis?
However, the advent of moist wound healing has brought with it an understanding that moisture balance is the key to optimal outcomes. Excessive amounts of wound exudate can cause the periwound (within 4 cm of wound edge) skin to become macerated and even break down. This type of skin damage is call periwound moisture-associated dermatitis.
How do you diagnose and manage moist skin?
Diagnose MASD accurately. Identifying the etiology is the first crucial step in managing moist skin. This reference tool can help you quickly diagnose, accurately chart, and manage MASD. Fewer charting errors can help you provide accurate and effective care for your patients and help lower the overall cost of care.
When will the new ICD 10-cm diagnosis codes for moisture-associated skin damage (MASD) take effect?
As a response to this: WOCN announced that its application for new ICD-10-CM diagnosis codes for Moisture-Associated Skin Damage (MASD) has been approved by the ICD-10 Coordination and Maintenance Committee and took effect on October 1, 2021. Already a member?
What is moisture-associated skin damage?
Answer to this: Learn how 3M puts skin at the center of care. Moisture-associated skin damage (MASD) is a complex and common condition that can create negative patient experiences and increase the cost of care.¹ MASD is caused by prolonged exposure to moisture including, but not limited to wound exudate, perspiration, urine and stool and saliva.
What are irritant contact dermatitis codes?
Answer will be: The various MASD codes are classified as irritant contact dermatitis. 12 Many substances have the potential for causing irritant contact dermatitis including chemicals, drugs, cosmetics, detergents, dyes, foods, and contact with animals or plants, among other substances. In the ICD–10-CM system, irritant codes begin with L24 or L25.
Is there a reliable way to track moisture related skin damage?
Answer: There has not been (until now) a reliable way to capture the number of patients in the US who have moisture associated skin damage. The way that all disease state data in the US is collected is by tracking something called ICD-10-CM codes. The ICD-10-CM codes for moisture related problems were inadequate and inconsistently used.
