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2025 ICD-10-CM code A26.0

Cutaneous erysipeloid. Erythema migrans.

Use additional code to identify resistance to antimicrobial drugs (Z16.-).

Medical necessity for treatment of cutaneous erysipeloid is established by the confirmed diagnosis based on clinical findings and positive culture for Erysipelothrix rhusiopathiae.The documentation should clearly support the need for antibiotic therapy to address the infection and prevent complications.

Clinicians should diagnose cutaneous erysipeloid based on the patient's occupation, exposure history, clinical presentation (localized lesions with warmth, tenderness, erythema or swelling, burning sensation, pain, and redness), and laboratory confirmation through culture of skin specimens. Treatment typically involves antibiotics, particularly penicillin.

In simple words: Cutaneous erysipeloid is a skin infection you can get from animals like fish, birds, and shellfish. It causes sore, red, and swollen areas on your skin, often on your hands.Farmers, butchers, cooks, and homemakers are more likely to get it.

Cutaneous erysipeloid, a bacterial skin infection caused by Erysipelothrix rhusiopathiae, is characterized by localized skin lesions. These lesions are often warm, tender, and red or swollen, accompanied by a burning sensation and pain. They typically appear on the hands, web spaces, or forearm. In diffuse cutaneous infections, multiple lesions may be present on different body parts.

Example 1: A butcher develops a red, swollen, painful lesion on his hand after handling raw meat. A culture confirms Erysipelothrix rhusiopathiae, leading to a diagnosis of cutaneous erysipeloid., A homemaker presents with multiple red lesions on her hands and forearms after preparing seafood.Following a positive culture for Erysipelothrix rhusiopathiae, cutaneous erysipeloid is diagnosed., A farmer develops a painful, burning rash on his arm after working with livestock. The lesion is diagnosed as cutaneous erysipeloid based on clinical findings and culture results positive for Erysipelothrix rhusiopathiae.

Documentation should include the patient's occupation and exposure history, detailed description of the lesion(s) (location, size, appearance, associated symptoms), and results of the bacterial culture.

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