2025 ICD-10-CM code L57.5
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Skin Disorders - Skin changes due to chronic exposure to nonionizing radiation Diseases of the skin and subcutaneous tissue (L00-L99) Feed
Actinic granuloma is a skin condition caused by chronic exposure to non-ionizing radiation, typically ultraviolet (UV) light.
Medical necessity for treatment of actinic granuloma is established by the presence of clinically significant lesions that cause discomfort, cosmetic concerns, or risk of progression to more serious skin conditions. Documentation supporting the diagnosis, the need for intervention, and the selection of treatment modality is essential for appropriate reimbursement.
Dermatologists or other physicians specializing in skin conditions are primarily responsible for diagnosing and managing actinic granuloma. This involves a thorough clinical evaluation, potentially including skin biopsy for histological confirmation, and developing an appropriate treatment plan based on the severity and patient's response.Follow-up care may be needed to monitor disease progression and assess treatment efficacy.
- Diseases of the skin and subcutaneous tissue (L00-L99)
- L57 (Skin changes due to chronic exposure to nonionizing radiation)
In simple words: Actinic granuloma is a skin problem caused by too much sun exposure. It shows up as firm, reddish bumps, usually on parts of your body that get a lot of sun. A doctor can diagnose it and may recommend creams, freezing the bumps, or surgery.
Actinic granuloma (L57.5) is a chronic inflammatory skin reaction resulting from prolonged exposure to non-ionizing radiation, primarily ultraviolet (UV) radiation from sunlight.It's characterized by the development of firm, reddish-brown papules or nodules, often found on sun-exposed areas like the face, ears, and neck. Histologically, it shows granulomatous inflammation.The diagnosis is typically made through clinical examination and a skin biopsy.Treatment options may include topical or systemic corticosteroids, cryotherapy, or surgical excision.
Example 1: A 70-year-old male patient presents with multiple reddish-brown nodules on his face and ears, consistent with actinic granuloma. A skin biopsy confirms the diagnosis. The physician prescribes a topical corticosteroid cream and advises the patient on sun protection measures., A 65-year-old female patient with a history of extensive sun exposure develops a solitary, firm nodule on her nose.A biopsy reveals features of actinic granuloma. The physician elects for surgical excision of the lesion for both cosmetic and diagnostic purposes., A 58-year-old patient who works outdoors experiences the development of several small, raised lesions on their shoulders and neck.A clinical evaluation and biopsy lead to a diagnosis of actinic granuloma. The physician recommends topical corticosteroid treatment along with photoprotection strategies and regular skin checks.
A complete medical history detailing sun exposure, a thorough clinical description of the lesions, including location, size, and color, and histopathological examination results from a skin biopsy to confirm the diagnosis are all necessary for accurate coding.Photographs of the lesions may also improve documentation.
** Actinic granuloma is often associated with other actinic changes such as actinic keratosis or solar elastosis.Clinicians should consider these possibilities during diagnosis and treatment planning.The severity of actinic granuloma can vary significantly, influencing treatment selection.
- Payment Status: Active
- Specialties:Dermatology
- Place of Service:Office, Outpatient Hospital, Clinic