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2025 ICD-10-CM code L74.519

Primary focal hyperhidrosis, unspecified.

Use the most specific code possible. If the location of the hyperhidrosis is known, use the appropriate code from L74.510 to L74.513 instead of L74.519.L74.5 and L74.51 should not be used for reimbursement purposes.

Medical necessity is established by the presence of clinically significant hyperhidrosis that impairs the patient's daily life or social functioning.Documentation must demonstrate the impact of the condition on the patient's quality of life, such as difficulty with work, social activities, or relationships.

Diagnosis and management of primary focal hyperhidrosis.This may involve a thorough history, physical examination, and potentially diagnostic testing to rule out secondary causes. Treatment options may include topical antiperspirants, iontophoresis, botulinum toxin injections, or surgery.

IMPORTANT L74.510 (Primary focal hyperhidrosis, axilla), L74.511 (Primary focal hyperhidrosis, face), L74.512 (Primary focal hyperhidrosis, palms), L74.513 (Primary focal hyperhidrosis, soles).Note that L74.5 and L74.51 should not be used for reimbursement purposes due to the availability of more specific codes.

In simple words: This code describes excessive sweating in one specific area of the body, but the exact location isn't known or specified by the doctor.

This code classifies primary focal hyperhidrosis where the specific location of excessive sweating is not specified.It is used when the patient presents with primary focal hyperhidrosis but the affected area (axilla, face, palms, soles, etc.) cannot be determined or documented.

Example 1: A patient presents with excessive sweating of the hands, but the exact location cannot be precisely defined.L74.519 is used because the clinician is unable to specify whether the sweating is limited to one or multiple areas of the hand., A patient reports excessive sweating in an unspecified area of the body.A physical examination reveals excessive sweating in one area, but the location is too diffuse to specify. L74.519 is used instead of more specific codes., The patient's medical record mentions hyperhidrosis but lacks sufficient detail to assign a more precise code. L74.519 is utilized as a placeholder indicating the presence of primary focal hyperhidrosis without location information.

Detailed history of the patient's sweating, including location, duration, severity, and any exacerbating factors. Physical examination notes should clearly document the presence of focal hyperhidrosis, even if the exact location is unclear.Any diagnostic tests performed (e.g., sweat tests) should be documented.

** This code should only be used when a more specific code from L74.510-L74.513 cannot be applied due to insufficient clinical information.Always strive for the highest level of specificity when coding hyperhidrosis.

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