2025 ICD-10-CM code L93
Lupus erythematosus. Use additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5).
Medical necessity for services related to lupus erythematosus is established by the presence of signs, symptoms, and laboratory findings consistent with the disease.The documentation should clearly support the diagnosis and the need for the specific services provided.
Diagnosis and management of lupus erythematosus typically falls under the purview of specialists such as rheumatologists and dermatologists, depending on the primary manifestations of the disease.They are responsible for diagnosing the condition, assessing its severity, and developing a treatment plan.
- 12 Diseases of the Skin and Subcutaneous Tissue (L00-L99)
- L93.0 Discoid lupus erythematosusL93.1 Subacute cutaneous lupus erythematosusL93.2 Other localized lupus erythematosusL93.8 Other lupus erythematosusL93.9 Lupus erythematosus, unspecified
In simple words: Lupus is a disease where your body's defense system attacks its own healthy tissues.It can cause problems with your skin, joints, and other organs.
Lupus erythematosus is a chronic autoimmune disease that can affect the skin, joints, and internal organs.The immune system mistakenly attacks healthy tissues in the body.
Example 1: A 30-year-old female presents with a butterfly-shaped rash across her face, fatigue, and joint pain.After further investigation, she is diagnosed with systemic lupus erythematosus, which also affects her skin., A 45-year-old male develops raised, scaly patches on his scalp and face.A biopsy confirms discoid lupus erythematosus., A 25-year-old female experiences skin lesions after prolonged sun exposure.She is diagnosed with subacute cutaneous lupus erythematosus.
Documentation should include detailed descriptions of skin lesions, including location, size, morphology, and any associated symptoms.Relevant laboratory findings, such as antinuclear antibody (ANA) tests, should also be documented.If there is involvement of other organ systems, this should be thoroughly documented as well.
** Excludes1: lupus exedens (A18.4), lupus vulgaris (A18.4), scleroderma (M34.-), systemic lupus erythematosus (M32.-).Excludes2: certain conditions originating in the perinatal period (P04-P96), certain infectious and parasitic diseases (A00-B99), complications of pregnancy, childbirth and the puerperium (O00-O9A), congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99), endocrine, nutritional and metabolic diseases (E00-E88), lipomelanotic reticulosis (I89.8), neoplasms (C00-D49), symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94), systemic connective tissue disorders (M30-M36), viral warts (B07.-).
- Payment Status: Active
- Specialties:Rheumatology, Dermatology, Internal Medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital