2025 ICD-10-CM code L70.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the skin and subcutaneous tissue - Disorders of skin appendages Diseases of the skin and subcutaneous tissue (L00-L99) Feed
Acne vulgaris, a common inflammatory disorder of the pilosebaceous units.
ICD-10 codes do not use modifiers.
Medical necessity for treatment of acne vulgaris is established by the presence of moderate to severe acne that is unresponsive to self-care measures or causing significant functional impairment or psychosocial distress. Treatment may be deemed medically necessary to prevent scarring or to improve the patient's quality of life.
Diagnosis and management of acne vulgaris, including assessment of severity, selection of appropriate treatment modalities (topical and/or systemic medications), patient education regarding skincare routines, and monitoring for treatment response and adverse effects.
In simple words: Acne vulgaris is a common skin condition causing pimples, blackheads, and whiteheads.It happens when oil glands and hair follicles become inflamed.It's most common in teenagers and young adults and usually affects the face, chest, and back.
Acne vulgaris (L70.0) is a chronic inflammatory disease of the pilosebaceous apparatus characterized by an increase in sebum secretion.Clinical manifestations include open comedones (blackheads), closed comedones (whiteheads), papules, pustules, nodules, and cysts.The etiology is multifactorial, with hormonal changes, genetics, and potentially environmental factors playing a role.It most frequently affects adolescents and young adults, commonly presenting on the face, chest, and back.Severe cases can lead to scarring.
Example 1: A 16-year-old presents with moderate acne vulgaris affecting the face and chest, characterized by numerous comedones, papules, and pustules. The physician performs a comprehensive skin exam, diagnoses acne vulgaris (L70.0), and prescribes topical retinoid and benzoyl peroxide., A 22-year-old female presents with severe nodulocystic acne, with deep inflammatory nodules and cysts primarily on the face and back.The physician diagnoses acne vulgaris (L70.0) and initiates treatment with oral isotretinoin, along with counseling on sun protection and skincare., A 30-year-old male presents with persistent mild acne vulgaris despite previous attempts at self-treatment with over-the-counter medications. The physician diagnoses acne vulgaris (L70.0) and recommends a course of topical antibiotics and a customized skincare regimen.
Detailed history of present illness, including onset, duration, location, severity, and any previous treatments.Complete physical examination focusing on the skin, noting the distribution and type of lesions.Documentation of treatment plan, including specific medications prescribed, patient education provided, and follow-up plan.Photographs may be beneficial in assessing severity and tracking treatment progress.
** Acne vulgaris can be a challenging condition to treat, requiring a multifaceted approach.Treatment response varies significantly among patients, necessitating individualized therapeutic strategies.
- Revenue Code: Revenue codes will vary depending on the services provided and the payer.
- RVU: RVUs are not directly associated with ICD-10 codes.Reimbursement is determined by factors such as place of service, provider type, and payer-specific fee schedules.
- Global Days : Not applicable to this diagnosis code.
- Payment Status: Active
- Modifier TC rule: Not applicable to this diagnosis code.
- Fee Schedule : Not applicable to this diagnosis code.
- Specialties:Dermatology
- Place of Service:Office, Outpatient Hospital, Urgent Care Facility