2025 ICD-10-CM code L72.2

Steatocystoma multiplex is a rare inherited disorder characterized by multiple benign sebaceous cysts.

Appropriate coding requires thorough documentation to support the diagnosis of steatocystoma multiplex.This should distinguish it from other types of cysts.If individual cysts are removed, the number of procedures may need to be reflected in coding, depending on the payer's requirements.

Medical necessity for treatment is generally based on cosmetic concerns or symptomatic relief due to the presence of cysts impacting the patient's quality of life or causing discomfort or infections.Excision may be medically necessary for the relief of symptoms.

Diagnosis and management of steatocystoma multiplex, including assessment of the extent of the condition, counseling about inheritance patterns, and, when necessary, recommending treatment options such as surgical removal of cysts for cosmetic or symptomatic relief.

IMPORTANT May be coded with 706.2 (Sebaceous cyst) in ICD-9-CM.

In simple words: Steatocystoma multiplex is a rare skin condition where many small, harmless cysts (fluid-filled bumps) develop under the skin.These cysts are usually present from birth or appear during puberty and are not cancerous.

Steatocystoma multiplex (SM), also known as steatocystomatosis, sebocystomatosis, or epidermal polycystic disease, is a rare, benign, inherited condition characterized by the development of multiple, intradermal, true sebaceous cysts of varying sizes.It's considered a nevoid or hamartomatous malformation of the pilosebaceous unit, arising from an abnormality in the hair follicle's sebaceous gland attachment.The condition may present sporadically or as an autosomal dominant trait, typically manifesting at puberty. Lesions are typically multiple, benign cysts that may appear throughout the body.

Example 1: A 16-year-old patient presents with numerous small, yellowish bumps on their face, back, and chest.These lesions are confirmed as sebaceous cysts consistent with steatocystoma multiplex through physical examination and possibly imaging., A 30-year-old patient with a family history of steatocystoma multiplex reports increasing numbers of cysts, impacting their self-esteem.The physician provides genetic counseling, reviews treatment options, and discusses the management of the condition., A 45-year-old patient presents with a large, infected steatocystoma.Surgical excision and drainage are performed, followed by follow-up care to prevent recurrence or infection.

Complete history and physical examination documenting the number, size, and location of the cysts.Family history should be obtained to assess for an inherited component.Images (e.g., photographs) may be helpful to document the condition and aid in follow-up. Pathology results confirming a diagnosis of sebaceous cysts should be included if biopsy performed.Detailed notes on treatment provided and patient response.

** Steatocystoma multiplex is a benign condition; however, large or infected cysts may require surgical intervention.Careful documentation distinguishing it from other sebaceous disorders is critical for accurate coding.

  • Payment Status: Active
  • Specialties:Dermatology
  • Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center
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