2025 ICD-10-CM code L59
Other disorders of skin and subcutaneous tissue related to radiation.
Medical necessity is established by the direct causal relationship between radiation exposure and the observed skin/subcutaneous tissue disorders. The documentation should clearly link the radiation exposure to the patient's current condition and justify any necessary medical intervention.
Physicians such as dermatologists, oncologists, and radiologists use this code to document conditions arising from radiation therapy and other radiation exposures. Clinicians need to accurately assess and document the specific effects of radiation on the skin and underlying tissues.
- 12 (Diseases of the Skin and Subcutaneous Tissue (L00-L99))
- L55-L59 Radiation-related disorders of the skin and subcutaneous tissue
In simple words: This code represents various skin and underlying tissue problems caused by radiation, such as scarring, sores, unusual coloring, and visible blood vessel changes.
This code encompasses skin and subcutaneous tissue disorders due to radiation exposure not classified elsewhere. Examples include radiation-induced fibrosis, ulceration, changes in pigmentation, and telangiectasia (dilation of small blood vessels).
Example 1: A patient undergoing radiation therapy for breast cancer develops skin fibrosis and discoloration in the treated area. The physician documents this using L59., A radiologist working with radiation equipment develops chronic radiodermatitis on their hands. This condition, characterized by skin thinning, dryness, and telangiectasia, is documented with L59., A nuclear power plant worker experiences an accidental exposure to high levels of radiation leading to skin ulcerations and impaired wound healing. The radiation-induced skin changes fall under the L59 classification.
Detailed clinical documentation of the skin and subcutaneous tissue changes, including location, appearance, and severity. The radiation exposure history (type, dose, duration) must also be documented. Previous treatments and response to therapies should also be noted.
** For more detailed coding guidance and specific clinical scenarios, using specialized coding resources and clinical documentation improvement specialists is recommended. The information provided herein is for informational purposes only and should not be considered definitive coding advice.Please consult official coding guidelines and regulations for the most current and comprehensive information.
- Payment Status: Active
- Specialties:Dermatology, Oncology, Radiology, Radiation Oncology
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Office, Independent Clinic, Military Treatment Facility, and others depending on the context.