2025 ICD-10-CM code L29.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Dermatitis and eczema - Pruritus Diseases of the skin and subcutaneous tissue (L00-L99) Feed
Pruritus ani, also known as anal itching, is an intense, persistent itching of the anal or perianal skin.
Modifiers may be applicable depending on the circumstances of the visit and services provided. Consult current coding guidelines for specific modifier usage.
Medical necessity for the diagnosis and treatment of pruritus ani is established when the patient exhibits symptoms consistent with the condition and the symptoms are sufficiently severe to warrant medical intervention.The physician should document the clinical findings and rationale for the chosen treatment plan to justify the medical necessity.
The clinical responsibility for managing pruritus ani may involve various specialists, including a gastroenterologist, dermatologist, or primary care physician.The initial evaluation typically includes a thorough history and physical examination to determine the underlying cause and direct appropriate treatment.Treatment strategies vary depending on the cause and may include topical medications, lifestyle changes, and sometimes surgical interventions.
In simple words: Pruritus ani means intense itching around the anus (the opening of the rectum). This itching can be constant and very bothersome.It can be caused by many things, such as infection, irritation, or other medical conditions.
Pruritus ani, or anal itching, is characterized by an intense and persistent itching sensation in the anal or perianal region.It can be a primary condition or secondary to various underlying medical issues, including inflammatory conditions, infections (e.g., fungal, parasitic), systemic diseases, neoplasms, or anorectal disorders.The diagnosis is typically made through a clinical evaluation, often involving a physical examination of the affected area.
Example 1: A 55-year-old male presents with chronic anal itching for the past six months.The itching is worse at night and interferes with sleep.He denies any recent changes in diet or hygiene practices.Physical examination reveals erythema and excoriations in the perianal area.Fecal occult blood test is negative., A 30-year-old female with a history of Crohn’s disease reports worsening anal itching, associated with perianal fissures.She notes increased discomfort after bowel movements. Physical exam shows fissures and erythema in the perianal region. Sigmoidoscopy shows active inflammation., A 60-year-old male with type 2 diabetes presents with intense anal itching, accompanied by a burning sensation. He has a history of poor glycemic control.Examination shows candidiasis (yeast infection) in the perianal area.
Detailed history of the pruritus, including onset, duration, character (burning, stinging, etc.), aggravating and relieving factors.Documentation of the physical examination findings, including the appearance of the perianal skin (erythema, excoriations, fissures, lesions). Results of relevant investigations, such as fecal occult blood testing, stool analysis, dermatological examination, and any imaging studies.
** Pruritus ani can be a challenging condition to manage, often requiring a multidisciplinary approach.Treatment may involve a combination of therapies, and ongoing monitoring is essential to assess the effectiveness of the intervention and address any complications.
- Payment Status: Active
- Specialties:Gastroenterology, Dermatology, Proctology
- Place of Service:Office, Hospital, Outpatient Clinic