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2025 ICD-10-CM code L74.8

Other eccrine sweat disorders; a category encompassing various eccrine sweat gland dysfunctions not otherwise specified.

Refer to the official ICD-10-CM coding guidelines for detailed instructions on selecting the most appropriate code based on the specific clinical findings.Accurate documentation is critical for correct coding.

Medical necessity is established by the presence of a clinically significant eccrine sweat gland disorder that is causing symptoms or impacting the patient's quality of life.Treatment should be medically appropriate and necessary to alleviate symptoms and improve the patient's well-being. Documentation supporting the diagnosis and the necessity of the treatment should be provided.

Diagnosis and management of eccrine sweat gland disorders.This may involve a thorough history, physical examination, and potentially further investigations (e.g., sweat tests) to determine the underlying cause and guide treatment.Treatment approaches can vary depending on the specific condition and may include topical therapies, systemic medications, or procedures like iontophoresis.

IMPORTANT Consider L74.0-L74.7 for more specific eccrine sweat gland disorders.R61 (Generalized Hyperhidrosis) should be used for generalized excessive sweating, not localized issues.

In simple words: This code covers problems with your sweat glands that aren't specifically listed elsewhere.Your doctor will need to describe your particular issue to ensure correct billing.

ICD-10-CM code L74.8, "Other eccrine sweat disorders," classifies diverse conditions affecting the eccrine sweat glands—the glands responsible for thermoregulatory sweating—that don't fit into more specific categories within the L74 code range.This includes a broad spectrum of eccrine gland dysfunction, encompassing abnormalities in sweat production, composition, or secretion.It's crucial to specify the precise clinical presentation in documentation to support accurate coding.Excludes generalized hyperhidrosis (R61).

Example 1: A patient presents with localized excessive sweating of the palms, unresponsive to typical treatments for hyperhidrosis.After ruling out other causes, a diagnosis of an unspecified eccrine sweat disorder (L74.8) is made., A patient experiences a rare type of eccrine sweat gland dysfunction characterized by abnormally thick or sticky sweat, causing discomfort and skin irritation. This atypical presentation would warrant coding as L74.8., A patient with a history of skin conditions shows signs of altered eccrine sweat function in a localized area that does not match any of the more specified L74 codes.Clinical notes and detailed findings would justify coding L74.8.

Detailed clinical description of the sweat gland dysfunction, including location, symptoms (e.g., excessive, insufficient, or abnormal sweat), duration, and any associated skin findings.Results of relevant investigations, such as sweat tests, if performed, should also be documented.

** This code is intended for conditions not otherwise specified in the L74 code range.Always utilize the most specific code available based on the clinical picture.Accurate documentation is vital for proper reimbursement.

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