2025 ICD-10-CM code L71.1
(Active) Effective Date: N/A Revision Date: N/A Diseases of the skin and subcutaneous tissue - Disorders of skin appendages Diseases of the skin and subcutaneous tissue (L00-L99) Feed
Rhinophyma is a skin condition affecting the nose, characterized by thickened skin and enlarged sebaceous glands.
Medical necessity for treatment of rhinophyma is established by the presence of significant cosmetic disfigurement, nasal obstruction, or suspected malignancy.The severity of symptoms and their impact on the patient's quality of life justify the need for intervention.The choice of treatment depends on the specific presentation and patient preference.
Diagnosis and treatment of rhinophyma typically falls under the responsibility of a dermatologist.Treatment may involve various approaches, including medications, laser treatments, and surgical procedures such as dermabrasion.Primary care physicians may also play a role in initial assessment and referral to a specialist.
In simple words: Rhinophyma is a skin problem that makes the nose thick and bumpy. It's a more serious form of rosacea, a common skin condition causing redness and pimples.It mainly affects men and can sometimes make it hard to breathe through the nose.
Rhinophyma, also known as hypertrophic rosacea of the nose or phymatous rosacea of the nose, is a skin condition primarily affecting the nose.It is characterized by thickening of the nasal skin and enlargement of the sebaceous (oil) glands, resulting in a bulbous or bumpy appearance of the nose.This condition is considered a late-stage manifestation of rosacea and is more common in men.Rhinophyma can lead to obstruction of the nasal passages in severe cases and has been associated with a rare increased risk of basal cell carcinoma.
Example 1: A 60-year-old male patient presents with a progressively enlarging and bumpy nose, associated with a history of rosacea.A physical examination reveals classic features of rhinophyma. The dermatologist orders a biopsy to rule out malignancy before proceeding with surgical treatment. Code L71.1 is used., A 55-year-old male patient with a long-standing history of rosacea complains of nasal obstruction. Examination shows significant rhinophyma, interfering with breathing. The physician refers him to a plastic surgeon for surgical correction. Code L71.1 is utilized., A 70-year-old male patient presents for a routine checkup.During examination, the physician notes the presence of rhinophyma and discusses management options with the patient, emphasizing the importance of regular monitoring for potential complications. Code L71.1 is used for documentation.
Detailed medical history focusing on rosacea history, symptom onset, progression, and impact on daily activities. Physical examination findings describing the size, texture, and extent of nasal changes.Results of any diagnostic testing, such as biopsy results to rule out malignancy.Documentation of treatment plans and response to treatment.
** Rhinophyma is a late-stage manifestation of rosacea, often requiring multidisciplinary approach to management.It's crucial to differentiate it from other nasal lesions and to monitor for potential malignancy.
- Payment Status: Active
- Specialties:Dermatology, Plastic Surgery, Otolaryngology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center