2025 ICD-10-CM code L74.512

Primary focal hyperhidrosis affecting the palms.

Ensure accurate documentation supports the diagnosis of primary focal hyperhidrosis localized to the palms, differentiating it from other types of hyperhidrosis.Appropriate use of this code requires exclusion of secondary causes of hyperhidrosis. Follow established guidelines when selecting appropriate treatment codes.

Modifiers might be applied depending on the specific procedures performed and the context of care, such as the place of service and the type of treatment rendered.

Medical necessity for treatment of L74.512 is established when the excessive palmar sweating significantly impacts daily activities and quality of life. This impact should be clearly documented in the medical record, showing that conservative measures have been tried and failed. The treatment plan must align with established medical guidelines.

The clinical responsibility for this code involves the diagnosis and management of primary focal hyperhidrosis of the palms. This includes a thorough patient history, physical examination focusing on the affected area, assessment of the severity of hyperhidrosis, consideration of differential diagnoses (ruling out secondary causes), and selection of appropriate treatment options.The physician's duties involve ordering relevant investigations, providing counseling, and implementing management strategies.

IMPORTANT Related codes include L74.510 (axilla), L74.511 (face), L74.513 (soles), L74.519 (unspecified), L74.52 (secondary focal hyperhidrosis), L74.8 (other eccrine sweat disorders), L74.9 (eccrine sweat disorder, unspecified), and R61 (generalized hyperhidrosis).Note that L74.5 and L74.51 are not recommended for reimbursement as they are less specific.

In simple words: This code describes excessive sweating only in the palms of the hands, not related to another medical problem.Doctors use this code when billing for treatment of this type of excessive sweating.

This ICD-10-CM code designates primary focal hyperhidrosis specifically localized to the palms.Primary focal hyperhidrosis refers to excessive sweating in a specific area of the body not caused by another medical condition. This code is used for billing and reimbursement purposes related to the diagnosis and treatment of this condition.

Example 1: A 35-year-old patient presents with complaints of excessive sweating in their palms, significantly impacting their daily activities, especially their work as a surgeon.After a thorough examination and ruling out other potential causes, they are diagnosed with L74.512. , A 20-year-old college student experiences excessive palmar sweating that affects their ability to write notes in class and participate in social activities.Their physician confirms the diagnosis of primary focal hyperhidrosis of the palms after clinical evaluation and orders treatment., A 50-year-old accountant is troubled by severe palmar hyperhidrosis, resulting in difficulty managing paperwork and impacting their job performance.They seek medical attention, and the physician diagnoses them with L74.512, after ruling out secondary causes, and proceeds with treatment recommendations.

Complete patient history focusing on onset, duration, severity, and impact of palmar hyperhidrosis on daily life.Physical examination findings including assessment of sweat production in the palms.Documentation of the diagnostic process (e.g., ruling out secondary causes, relevant investigations).Treatment plan, response to treatment, and any ongoing management strategies should be well documented.

** This code is specific to palmar hyperhidrosis and shouldn't be used if the excessive sweating involves other body parts, unless those are explicitly documented as secondary sites.

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