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2025 ICD-10-CM code L58.0

Acute radiodermatitis is an early radiation reaction affecting the skin and subcutaneous tissue.

Consult the official ICD-10-CM coding guidelines for specific instructions on code usage and sequencing with other codes.

Medical necessity is established by the underlying condition requiring radiation therapy or by the accidental radiation exposure.Documentation should support the link between the radiation exposure and the development of acute radiodermatitis.

Dermatologists, oncologists, and radiation therapists are primarily responsible for diagnosis and management.

IMPORTANT:Use additional code to identify the source of radiation (e.g., W88, W90).Chronic radiodermatitis is coded differently.

In simple words: Acute radiodermatitis is a skin reaction that happens soon after radiation exposure, like from radiation therapy.The skin might get red, swollen, and sore. In severe cases, blisters or sores may form.

Acute radiodermatitis (L58.0) is an early inflammatory reaction of the skin and subcutaneous tissue following exposure to ionizing radiation.The severity varies depending on the radiation dose and individual factors.Symptoms can include erythema (redness), edema (swelling), and pain.More severe cases may present with blistering and ulceration.This code should be used for acute reactions; chronic effects are coded differently.

Example 1: A patient undergoing radiation therapy for breast cancer develops erythema and mild edema at the radiation site one week into treatment.L58.0 is used to code the acute radiodermatitis., A patient receiving radiation therapy for head and neck cancer experiences severe blistering and ulceration at the treatment site. L58.0 is used, along with additional codes to specify the severity and complications., A patient accidentally exposed to a high dose of ionizing radiation displays acute radiation skin damage.L58.0 is coded, along with external cause codes to document the accidental exposure.

Detailed clinical notes describing the onset, symptoms, severity, and location of the radiodermatitis; radiation treatment plan documentation;imaging studies (if any) showing the extent of skin involvement.

** Always refer to the most current official ICD-10-CM coding guidelines and conventions for accurate coding.Consider using additional codes to specify the severity, location, and associated complications of the radiodermatitis.

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