2025 ICD-10-CM code L20.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the skin and subcutaneous tissue - Dermatitis and eczema (L20-L30) Diseases of the skin and subcutaneous tissue (L00-L99) Feed
Besnier's prurigo, a chronic, intensely itchy skin condition with papular lesions, often associated with atopic dermatitis.
Medical necessity is established by the presence of chronic, significant pruritis with papular lesions affecting the patient's quality of life.Documentation should support the diagnosis and justify the need for medical intervention, including medication and follow-up care.
Diagnosis and management of chronic pruritic dermatoses.This involves a thorough history, physical examination, and potentially allergy testing or other investigations to rule out other causes. Treatment may include topical corticosteroids, antihistamines, and emollients, as well as counseling on pruritus management.
In simple words: Besnier's prurigo is a skin condition causing extremely itchy bumps.These bumps are usually small and can appear on various body parts, most commonly the arms and legs. The itching can be severe and lead to scratching, causing the skin to thicken and darken.It's often linked to other skin conditions like eczema and may run in families.
Besnier's prurigo, also known as prurigo simplex or chronic prurigo of adults, is a chronic dermatosis characterized by intensely itchy, small, dome-shaped papules.These lesions are often symmetrically distributed on the extensor surfaces of the limbs and buttocks, but can appear anywhere on the body.The intense pruritus often leads to excoriation and secondary changes, including lichenification and hyperpigmentation. The etiology is unclear, but it's often associated with atopic dermatitis and may have an immunologic and/or genetic component.Differential diagnosis should consider other pruritic dermatoses.
Example 1: A 35-year-old female presents with intensely itchy papules on her arms and legs for several months. The lesions are symmetrically distributed and show signs of excoriation.A diagnosis of Besnier's prurigo is made after ruling out other conditions., A 50-year-old male with a history of atopic dermatitis presents with worsening pruritus and new papular lesions on his back and chest.The condition is diagnosed as Besnier's prurigo, likely a manifestation of his pre-existing atopic dermatitis., A 10-year-old child is brought to the clinic with widespread itchy papules.While atopic dermatitis is considered, Besnier's prurigo is suspected given the distribution and morphology of the lesions.Further investigations are warranted to differentiate from other childhood pruritic conditions.
Detailed history including duration and onset of symptoms, description of lesions, distribution, associated symptoms (e.g., atopy, allergies), response to previous treatments.Physical examination documenting the size, shape, distribution, and secondary changes of papules.Results of any diagnostic tests if performed (e.g., allergy testing).
** Besnier's prurigo is a clinical diagnosis.The intense pruritus often significantly impacts a patient's quality of life, impacting sleep, daily activities, and overall well-being.Treatment is focused on managing the symptoms.
- Payment Status: Active
- Specialties:Dermatology, Allergy and Immunology
- Place of Service:Office, Outpatient Clinic