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2025 ICD-10-CM code L08.81

Pyoderma vegetans is a rare skin infection characterized by the development of vegetating lesions.

Use additional codes to identify infectious agents (B95-B97) when applicable.Proper documentation is essential to ensure accurate coding and reimbursement.

Medical necessity is established by the presence of clinically significant vegetating lesions consistent with pyoderma vegetans, often in the context of underlying inflammatory bowel disease.The need for treatment will be determined by the severity of the condition and the impact on the patient's daily life.

Diagnosis and management of skin infections; may require referral to specialists based on complexity or underlying conditions.

IMPORTANT May be coded with additional codes (B95-B97) to identify the infectious agent.It is important to differentiate from other pyodermas, such as pyoderma gangrenosum (L88).

In simple words: Pyoderma vegetans is an uncommon skin infection that causes raised, bumpy, sometimes pus-filled, sores.It's often linked to problems with the intestines.

Pyoderma vegetans (L08.81) is a rare form of pyoderma, a skin infection characterized by the formation ofvegetating (wart-like) lesions.These lesions are typically reddish-brown, moist, and may exude pus.The condition can occur in various locations on the body and is often associated with underlying inflammatory bowel disease.Accurate diagnosis requires clinical examination and possibly histopathological evaluation to differentiate from other similar skin conditions.

Example 1: A 55-year-old male with a history of ulcerative colitis presents with several reddish-brown, vegetating lesions on his legs.A skin biopsy confirms the diagnosis of pyoderma vegetans., A 40-year-old female with Crohn's disease develops a single, large, moist, and pus-exuding lesion on her abdomen.The lesion is consistent with pyoderma vegetans, requiring both dermatological and gastroenterological evaluation., A 62-year-old male presents with multiple, slowly growing, verrucous lesions on his scrotum.The clinical picture suggests pyoderma vegetans, which needs to be differentiated from other skin conditions through biopsy and appropriate laboratory tests.

Detailed history, physical examination findings including lesion location, size, appearance, and any associated symptoms; results of any diagnostic testing (e.g., skin biopsy, cultures); treatment plan and response to treatment.

** Pyoderma vegetans is a rare condition, and accurate diagnosis may require consultation with a dermatologist or other specialists to rule out other similar lesions.

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