2025 ICD-10-CM code L01
Impetigo.
Medical necessity for treatment of impetigo is generally established by the presence of characteristic skin lesions consistent with the diagnosis. Treatment aims to resolve the infection, prevent its spread to others, and minimize complications.In more severe cases or in individuals with weakened immune systems, systemic antibiotics may be medically necessary.
Diagnosis and treatment of impetigo typically falls under the purview of primary care physicians, pediatricians, family medicine doctors, dermatologists and infectious disease specialists.Responsibilities include accurate diagnosis through physical examination and sometimes bacterial culture, prescribing appropriate antibiotic therapy (topical or oral), and educating patients on hygiene practices to prevent the spread of infection.
- 12 Diseases of the skin and subcutaneous tissue (L00-L99)
- L00-L08 Infections of the skin and subcutaneous tissue
In simple words: Impetigo is a skin infection caused by bacteria.It causes sores, usually around the nose and mouth, that ooze and form a crusty, honey-colored covering.
Impetigo is a common, highly contagious bacterial skin infection, primarily caused by Staphylococcus aureus or Streptococcus pyogenes.It's characterized by red sores, often around the nose and mouth, that quickly rupture and form honey-colored crusts.It most commonly affects children.
Example 1: A 5-year-old child presents with honey-colored crusted lesions around the nose and mouth. The physician diagnoses non-bullous impetigo (L01.0)., A 10-year-old child with a history of atopic dermatitis develops widespread impetiginization of eczema lesions (L01.1)., An adult with a compromised immune system develops bullous impetigo, a more severe form of the infection characterized by large blisters (L01.0).
Documentation should include the location and characteristics of skin lesions (e.g., size, color, presence of crusts or blisters), presence of any underlying skin conditions, and any associated symptoms such as itching or pain.If a culture is taken, the results should be documented.Response to treatment should also be noted.
** Impetigo is highly contagious and can spread through direct contact with infected skin or contaminated objects.Good hygiene practices, such as handwashing and avoiding sharing personal items, are essential for preventing transmission.
- Payment Status: Active
- Specialties:Primary Care, Pediatrics, Family Medicine, Dermatology, Infectious Disease
- Place of Service:Office, Outpatient Hospital, Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home, Inpatient Hospital (for complicated cases)