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2025 ICD-10-CM code L71

Rosacea is a chronic inflammatory skin disorder primarily affecting the face, characterized by redness, pustules, and visible blood vessels.

Appropriate coding requires careful documentation specifying the type and severity of rosacea. If multiple types of lesions are present, each should be coded separately.Additional codes may be necessary for complications or associated conditions.

Modifiers may be applicable depending on the specific circumstances of the visit and services rendered. Consult local payer guidelines for details.

Medical necessity for rosacea treatment is established by the presence of clinically significant symptoms impacting the patient's quality of life, such as persistent facial redness, inflammation, disfigurement, and/or ocular involvement. The treatment plan should be individualized based on the severity and type of rosacea.

Diagnosis and management of rosacea, including assessment of symptoms,physical examination,determination of severity,and treatment planning (e.g., topical medications, oral antibiotics, laser therapy).

IMPORTANT:Use additional codes to specify drug-induced rosacea (if applicable) and any associated complications or symptoms.

In simple words: Rosacea is a common skin problem causing redness, bumps, and pimples mainly on the face. It often involves the cheeks, nose, and forehead.It can look like acne but is a different condition. Some people with rosacea also have red, visible blood vessels on their face.

Rosacea is a chronic inflammatory skin condition primarily affecting the central face, including the cheeks, nose, forehead, and chin.Key characteristics include erythema (redness), flushing, edema (swelling), telangiectasia (visible blood vessels), papules (small raised bumps), and pustules (pus-filled bumps). Ocular symptoms may also be present.While it can occur at any age, onset typically happens after age 30.Specific subtypes include perioral dermatitis (L71.0), rhinophyma (L71.1), and other specified rosacea (L71.8).

Example 1: A 45-year-old female presents with persistent facial redness, flushing, and papules on her cheeks and nose.The provider diagnoses rosacea and prescribes topical azelaic acid., A 60-year-old male with a history of rosacea experiences a flare-up with increased erythema and pustules.The provider increases his dose of oral doxycycline., A 30-year-old female presents with perioral dermatitis (L71.0) characterized by papulopustular eruptions around her mouth. The provider initiates treatment with metronidazole cream.

Detailed history of present illness including onset, duration, severity, and exacerbating/relieving factors. Physical examination noting the location, extent, and type of lesions (erythema, papules, pustules, telangiectasia).Documentation of any associated ocular symptoms.Treatment plan and response to therapy.

** Rosacea can mimic other dermatologic conditions; proper diagnosis requires clinical judgment and thorough documentation.Consider using additional codes to indicate the presence of ocular involvement (blepharitis, conjunctivitis).

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