2025 ICD-10-CM code L71.0
Perioral dermatitis. This is a facial skin condition involving redness, bumps, and sometimes pus-filled blisters around the mouth, nose, and eyes. The lip margin is usually spared.
Medical necessity for treatment of perioral dermatitis is established by the presence of characteristic signs and symptoms that negatively impact the patient's quality of life. Treatment is aimed at reducing inflammation, clearing the rash, and preventing recurrence.
Diagnosis and treatment of perioral dermatitis typically falls under the purview of dermatologists or primary care physicians.Responsibilities include accurately diagnosing the condition through physical examination and sometimes skin biopsy, identifying and advising on the discontinuation of potential triggers (like certain cosmetics or topical steroids), and prescribing appropriate treatment such as topical or oral antibiotics, and/or topical anti-inflammatory medications.
In simple words: Perioral dermatitis is a skin rash that causes redness and small bumps around the mouth. It can sometimes also affect the skin near the nose and eyes, but usually not the lips themselves. It can feel itchy or burning.
Perioral dermatitis is a common inflammatory skin rash that primarily affects young women.It's characterized by small red bumps, papules, and sometimes pustules (pus-filled blisters) located around the mouth, nose, and less commonly, the eyes.The skin immediately next to the lips is usually not affected. Symptoms can include burning, itching, or tightness. The cause isn't fully understood, but it's associated with topical corticosteroid use, certain cosmetics, and fluorinated toothpaste.
Example 1: A 25-year-old female presents with small, red bumps and pustules around her mouth and nose, sparing the vermilion border of her lips. She reports a burning sensation. She has a history of using a high-potency topical steroid cream for a rash on her face., A 30-year-old woman presents with persistent redness and papules around her mouth.She denies use of topical steroids, but reports using a new cosmetic foundation and moisturizer recently., An infant presents with a rash similar to perioral dermatitis, but is diagnosed with periorificial dermatitis due to location and triggers different from the adult form.
Documentation should include the location and morphology of the rash, presence of associated symptoms like burning or itching, any history of topical steroid use, cosmetics used, and other potential triggers. If a skin biopsy is performed, the results should be documented.
- Specialties:Dermatology, Family Medicine, General Practice
- Place of Service:Office, Outpatient Hospital, Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home