2025 ICD-10-CM code B92
Sequelae of leprosy.
Medical necessity for treatment of sequelae of leprosy is established by the presence of functional impairments or health problems directly resulting from the prior leprosy infection. This could include pain management, corrective surgery, or rehabilitation services.
Providers diagnose sequelae of leprosy based on the patient's history of active leprosy, their current signs and symptoms, and a physical examination. Treatment focuses on managing the specific sequelae and may involve rehabilitation therapy, plastic surgery to address disfigurement, and surgery to correct nerve damage and contractures.
- I (Certain infectious and parasitic diseases (A00-B99))
- Sequelae of infectious and parasitic diseases (B90-B94)
In simple words: Sequelae of leprosy refers to the lasting damage caused by the leprosy infection, even after it has been treated. This damage can affect the nerves, skin, eyes, and other parts of the body, and can cause problems such as numbness, muscle weakness, and disfigurement.
Sequelae of leprosy refers to the residual effects or long-term complications that persist after the active leprosy infection has been treated. These effects can manifest years after the initial infection and treatment.
Example 1: A patient presents with claw hand deformity and loss of sensation in their feet, years after completing treatment for leprosy. This is diagnosed as sequelae of leprosy (B92)., A patient with a history of treated leprosy experiences chronic corneal ulcers. The ulcers are a direct result of nerve damage caused by the previous infection, coded as B92., A patient who underwent multi-drug therapy for leprosy several years prior now exhibits facial disfigurement due to the permanent skin changes caused by the disease. This is coded as a sequelae of leprosy (B92).
Documentation should include evidence of prior leprosy infection and treatment, detailed description of the specific sequelae present, and any associated functional impairments.
** The code B92 should not be used for active or chronic leprosy infections. It is specifically for the long-term effects that remain after the infection has been treated.
- Payment Status: Active
- Specialties:Infectious Disease, Dermatology, Neurology, Ophthalmology, Plastic Surgery, Physical Medicine and Rehabilitation
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Office, Independent Clinic, Federally Qualified Health Center, Comprehensive Outpatient Rehabilitation Facility