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2025 ICD-10-CM code L58.1

Chronic radiodermatitis.Use additional code to specify the radiation source.

Appropriate coding requires consideration of the severity of the radiodermatitis and any related complications.Additional codes should be used to reflect associated conditions or comorbidities.

Medical necessity for the diagnosis and treatment of chronic radiodermatitis is established by the presence of symptoms and clinical findings consistent with radiation-induced skin damage.The treatment plan should be tailored to the severity of the condition and aimed at alleviating symptoms, preventing complications, and improving quality of life.

Diagnosis and management of chronic radiodermatitis, including assessment of radiation exposure history, clinical examination, and appropriate treatment planning (e.g., topical corticosteroids, wound care, and prevention strategies).Referral to oncology or dermatology specialists may be necessary.

IMPORTANT:Additional codes should be used to specify the source of radiation (e.g., W88, W90).

In simple words: Chronic radiodermatitis is a skin problem caused by too much exposure to radiation, like from radiation therapy. It can cause redness, darkening of the skin, small broken blood vessels, thinning of the skin, sores, and an increased chance of skin cancer.

Chronic radiodermatitis is a chronic inflammatory skin condition resulting from prolonged or high-dose exposure to ionizing radiation.The clinical presentation can vary widely depending on the dose and type of radiation, as well as individual patient factors.Symptoms may include erythema, hyperpigmentation, telangiectasia, atrophy, ulceration, and increased risk of skin cancer.Further codes are required to identify the radiation source.

Example 1: A 65-year-old female patient presents with erythema, scaling, and ulceration on her left breast following radiation therapy for breast cancer six months prior.Diagnosis of chronic radiodermatitis is made. , A 70-year-old male patient who underwent radiotherapy for prostate cancer 2 years ago exhibits hyperpigmentation and telangiectasia in the pelvic region.Chronic radiodermatitis is diagnosed., A 50-year-old woman, a radiation worker, develops chronic radiodermatitis on her hands characterized by skin atrophy and dryness. The workplace safety manager is alerted.

Detailed patient history including radiation exposure (type, dose, dates), complete physical examination focusing on the affected skin areas, and imaging studies (if indicated) to evaluate the extent of damage.

** This code should be used cautiously and in consultation with coding guidelines and professional medical judgment.The severity of the condition, treatment methods, and any resulting complications should be accurately reflected in the medical record and billing documentation.

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