2025 ICD-10-CM code L70.3

Acne tropica is a type of acne.

Appropriate documentation is crucial for accurate coding of acne tropica.Specificity in describing the type of acne, its location, and associated features helps ensure accurate reimbursement.

Modifiers may apply depending on the specific circumstances of the treatment and the place of service.Consult your local payer guidelines for details.

Medical necessity for treatment of acne tropica is established by the presence of significant inflammatory lesions causing distress, functional impairment, or cosmetic concerns that negatively impact the patient's quality of life.Treatment should be tailored to the severity of the condition.

The clinical responsibility for diagnosing and treating acne tropica typically falls on dermatologists or primary care physicians.Management may involve topical medications, oral antibiotics, or other therapies depending on the severity of the condition.

IMPORTANT L70 (Acne) encompasses various subtypes, including L70.0 (Acne vulgaris), L70.1 (Acne conglobata), L70.2 (Acne varioliformis), L70.4 (Infantile acne), L70.5 (Acne excoriee), and L70.8 (Other acne).L73.0 (Acne keloid) is excluded.

In simple words: Acne tropica is a kind of acne, a common skin problem causing pimples.These pimples happen because the oil glands and hair follicles in your skin get inflamed.

Acne tropica is a specific type of acne, a chronic inflammatory disease of the pilosebaceous unit characterized by increased sebum production leading to lesions primarily on the face, chest, and back.These lesions can manifest as small pink papules, sometimes surrounding comedones (blackheads), pustules, or cysts (whiteheads).

Example 1: A 20-year-old male presents with inflamed papules and pustules on his face, chest, and back consistent with acne tropica.The physician documents the presence of comedones and orders a course of topical retinoids and benzoyl peroxide., A 16-year-old female with a history of severe acne tropica is unresponsive to topical treatments.The dermatologist initiates treatment with oral isotretinoin after thorough risk assessment and patient counseling., A 35-year-old woman presents with acne tropica affecting primarily her chin and jawline.The primary care physician prescribes a combination topical therapy with azelaic acid and clindamycin.

Complete documentation should include a detailed description of the lesions (papules, pustules, cysts, comedones), their location and distribution on the body, the patient's age and sex, relevant medical history (including previous treatments and responses), and any associated symptoms.Photographs may be beneficial.

** This code should be used for acne tropica only and not other forms of acne.Always refer to the most current ICD-10-CM coding guidelines and your payer's specific requirements for accurate coding and billing.

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