2025 ICD-10-CM code L74.5
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the skin and subcutaneous tissue - Disorders of skin appendages Diseases of the skin and subcutaneous tissue (L00-L99) Feed
Focal hyperhidrosis, excessive sweating localized to a specific area of the body.
Modifiers may be applicable depending on the specific services provided. Consult your payer's guidelines for specifics.
Medical necessity for treatment of focal hyperhidrosis is established when the excessive sweating significantly impacts the patient's daily life, causing emotional distress, social impairment, or functional limitations.The chosen treatment should be appropriate to the severity and location of the hyperhidrosis.
Diagnosis and management of focal hyperhidrosis, including assessment of the cause (primary or secondary), severity, and impact on the patient's quality of life. Treatment options may include topical medications, iontophoresis, Botox injections, or surgery, depending on the severity and location.
In simple words: Focal hyperhidrosis means excessive sweating in one specific spot on your body, like your armpits, face, hands, or feet.It's different from sweating all over.The cause might be unknown or related to another health problem or medicine.
Focal hyperhidrosis is a condition characterized by excessive sweating confined to a particular area of the body, such as the armpits, face, palms, or soles.It is differentiated from generalized hyperhidrosis (R61), which affects the entire body.The etiology can be primary (idiopathic) or secondary to underlying medical conditions or medications.Further specification may be needed to indicate the specific location (e.g., axillary, facial, palmar, plantar) and whether it's primary or secondary.
Example 1: A 25-year-old female presents with excessive sweating of her palms (palmar hyperhidrosis) affecting her daily activities and causing significant distress.The physician diagnoses primary focal hyperhidrosis, palms (L74.512)., A 40-year-old male with a history of anxiety disorder experiences excessive underarm sweating (axillary hyperhidrosis). This is diagnosed as secondary focal hyperhidrosis (L74.52) related to his anxiety., A 60-year-old female with menopause experiences excessive facial sweating (facial hyperhidrosis).The physician diagnoses secondary focal hyperhidrosis, face (L74.52), possibly related to hormonal changes.
Detailed history of the onset, duration, location, and severity of sweating.Physical examination documenting the areas of excessive sweating.Assessment for any underlying medical conditions or medications that could contribute to the hyperhidrosis.Any diagnostic tests performed (e.g., sweat tests).
** L74.5 and its sub-codes (L74.51-L74.52) should not be used for reimbursement; use more specific codes for appropriate billing.Always refer to the latest official ICD-10-CM coding guidelines for accurate coding practices.The information provided here is for educational purposes only and should not be considered medical advice.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Dermatology
- Place of Service:Office, Outpatient Hospital, Clinic