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2025 ICD-10-CM code L94.5

Poikiloderma vasculare atrophicans. This is a rare skin condition characterized by mottled pigmentation (poikiloderma), dilated blood vessels (telangiectasia), and atrophy (thinning) of the skin.

Code L94.5 should be used to report poikiloderma vasculare atrophicans.It is important to exclude other conditions that may present with similar skin findings, such as systemic connective tissue disorders.

Medical necessity for the diagnosis and treatment of poikiloderma vasculare atrophicans is established by the presence of characteristic skin findings, including poikiloderma, telangiectasia, and atrophy. The diagnosis often requires confirmation with a skin biopsy.Treatment is medically necessary to manage symptoms and prevent complications.

In simple words: This is a rare skin condition that causes changes in skin color, visible blood vessels, and thinning of the skin.

Poikiloderma vasculare atrophicans is a rare skin disorder that can resemble chronic radiodermatitis. It is often considered a variant of mycosis fungoides, a type of cutaneous T-cell lymphoma.

Example 1: A patient presents with mottled skin discoloration, prominent blood vessels, and thinning of the skin on their arms and legs. After a thorough examination and skin biopsy, they are diagnosed with poikiloderma vasculare atrophicans., A dermatologist examines a patient with a history of lymphoma. The patient exhibits patchy skin discoloration with telangiectasia and atrophy, suggestive of poikiloderma vasculare atrophicans. Further investigation is done to rule out disease progression or recurrence., A patient undergoing treatment for mycosis fungoides develops skin changes including hyperpigmentation, hypopigmentation, telangiectasia, and atrophy. These findings indicate the development of poikiloderma vasculare atrophicans as a complication of their underlying condition.

Documentation should include a detailed description of the skin lesions, including their location, size, color, and texture.Any relevant history, such as previous lymphoma or other skin conditions, should be noted.Results of any diagnostic tests, such as skin biopsies, should also be included.

** Poikiloderma vasculare atrophicans is a rare condition, and its etiology is not fully understood. It can occur as a primary disorder or secondary to other conditions, such as mycosis fungoides. The condition is typically chronic and progressive.

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