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2025 ICD-10-CM code L74.511

Primary focal hyperhidrosis of the face.

Use this code only when the hyperhidrosis is primarily localized to the face and not due to an underlying medical condition. Generalized hyperhidrosis should be coded with R61.Code the underlying medical condition if the facial sweating is secondary to another diagnosis.

Medical necessity for treatment of primary focal hyperhidrosis of the face is established when the excessive sweating significantly impacts the patient's quality of life, daily activities, or occupational functioning.The documentation should support the severity of the condition and how it negatively affects the patient.

Diagnosis and treatment of primary focal hyperhidrosis of the face. This may involve assessing the patient's medical history, physical examination, and potentially ordering tests to rule out underlying causes. Treatment options could include topical antiperspirants, oral medications, iontophoresis, botulinum toxin injections, or surgical interventions.

In simple words: This code refers to excessive sweating that primarily affects the face and is not due to another medical condition.

Primary focal hyperhidrosis, face.This condition describes excessive sweating localized to the face, not caused by another medical condition.

Example 1: A 25-year-old patient presents with complaints of excessive sweating on their face, particularly noticeable during stressful situations.No other medical conditions are identified. The physician diagnoses primary focal hyperhidrosis, face, and prescribes a topical antiperspirant., A 40-year-old patient experiences excessive sweating on their forehead, interfering with their daily activities and causing self-consciousness. Following a thorough evaluation, the physician determines the condition to be primary focal hyperhidrosis, face and recommends botulinum toxin injections., A patient presents with excessive facial sweating triggered by specific foods. After ruling out other medical conditions, a diagnosis of primary focal hyperhidrosis, face is confirmed, and dietary modifications are suggested.

Documentation should include detailed descriptions of the sweating, including location (face), frequency, duration, and any associated symptoms.The impact of sweating on the patient's daily life and quality of life should also be noted.Any treatments tried and their effectiveness should be documented, including over-the-counter antiperspirants. If other medical conditions are suspected and investigated, these should be documented along with their findings. Diagnostic tests and results should also be included.

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