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2025 ICD-10-CM code L27

Dermatitis due to substances taken internally.

Consult the official ICD-10-CM coding guidelines for specific instructions and clarification on the use of this code.Ensure accurate differentiation from other related codes.

Unknown

The medical necessity for coding L27 is established by the presence of clinical findings consistent with dermatitis and a strong temporal relationship between the onset of symptoms and the ingestion or absorption of a substance.Further investigation may be needed to identify the causal agent.

Diagnosis and management of dermatitis, including assessment of potential causative agents, allergy testing if indicated, and treatment of skin inflammation.This may involve dermatologists, allergists, or primary care physicians.

IMPORTANT:This code should be differentiated from other types of dermatitis, including allergic reactions not manifesting as dermatitis, adverse food reactions (excluding skin manifestations), contact dermatitis (L23-L25), drug-induced photosensitivity (L56.0-L56.1), and urticaria (L50).

In simple words: This code describes a skin rash or irritation caused by something you swallowed or absorbed through your skin.It's a reaction to medicines, vitamins, or other substances you took internally.

This code classifies dermatitis (inflammation of the skin) caused by substances ingested or absorbed into the body.It encompasses skin reactions resulting from the internal use of medications, supplements, or other substances.This excludes allergic reactions not specifically related to dermatitis, adverse food reactions (excluding dermatitis), contact dermatitis, drug-induced photosensitivity reactions (photoallergic and phototoxic), and urticaria.

Example 1: A patient presents with a widespread rash after starting a new antibiotic. The physician suspects drug-induced dermatitis and orders allergy testing., A patient develops itchy, red patches on their skin after consuming large quantities of a particular food. The physician determines the rash is due to an internal substance and codes it as L27., A patient with a history of eczema experiences a flare-up after starting a new dietary supplement. The physician documents the flare-up as a dermatitis due to internal substances.

Detailed patient history focusing on recent medication use, dietary changes, and supplement intake.Physical examination findings describing the rash's location, morphology, and distribution. Results of allergy testing or other relevant investigations (if performed).

** Always confirm the causative agent if possible. Consider using additional codes to specify the type of dermatitis, location, and severity.

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