ICD-10-CM Code L20.83

Infantile (acute) (chronic) eczema

Version 2020 Billable Code Pediatric Diagnoses

Valid for Submission

L20.83 is a billable code used to specify a medical diagnosis of infantile (acute) (chronic) eczema. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code L20.83 might also be used to specify conditions or terms like acute eczema, acute eczema, acute hand eczema, acute infantile eczema, chronic eczema of foot, chronic hand eczema, etc

The code L20.83 is applicable for patients aged 0 through 17 years inclusive. It is clinically and virtually impossible to use this code on a patient outside the stated age range.

ICD-10:L20.83
Short Description:Infantile (acute) (chronic) eczema
Long Description:Infantile (acute) (chronic) eczema

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code L20.83 are found in the index:


Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Pediatric diagnoses - Pediatric. Age range is 0–17 years inclusive (e.g., Reye’s syndrome, routine child health exam).

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Acute eczema
  • Acute eczema
  • Acute hand eczema
  • Acute infantile eczema
  • Chronic eczema of foot
  • Chronic hand eczema
  • Chronic infantile eczema
  • Dermatitis of anogenital region
  • Dermatitis of male genitalia
  • Eczema
  • Eczema of face
  • Eczema of finger
  • Eczema of leg
  • Eczema of leg
  • Eczema of leg
  • Eczema of lower leg
  • Eczema of male genitalia
  • Eczema of scalp
  • Eczema of wrist
  • Exacerbation of eczema
  • Facial eczema
  • Fingertip eczema
  • Firm nonpitting edema
  • Foot eczema
  • Generalized eczema
  • Hand eczema
  • Infantile atopic dermatitis
  • Infantile eczema
  • Nonallergic eczema
  • Non-pitting edema
  • Pruritus of scalp
  • Unclassifiable eczema

Diagnostic Related Groups

The ICD-10 code L20.83 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2020.

  • 606 - MINOR SKIN DISORDERS WITH MCC
  • 607 - MINOR SKIN DISORDERS WITHOUT MCC

Convert L20.83 to ICD-9

  • 690.12 - Sbrheic infantl drmtitis (Approximate Flag)

Code Classification

  • Diseases of the skin and subcutaneous tissue (L00–L99)
    • Dermatitis and eczema (L20-L30)
      • Atopic dermatitis (L20)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Eczema

Eczema is a term for several different types of skin swelling. Eczema is also called dermatitis. Most types cause dry, itchy skin and rashes on the face, inside the elbows and behind the knees, and on the hands and feet. Scratching the skin can cause it to turn red, and to swell and itch even more.

Eczema is not contagious. The cause is not known. It is likely caused by both genetic and environmental factors. Eczema may get better or worse over time, but it is often a long-lasting disease. People who have it may also develop hay fever and asthma.

The most common type of eczema is atopic dermatitis. It is most common in babies and children but adults can have it too. As children who have atopic dermatitis grow older, this problem may get better or go away. But sometimes the skin may stay dry and get irritated easily.

Treatments may include medicines, skin creams, light therapy, and good skin care. You can prevent some types of eczema by avoiding

  • Things that irritate your skin, such as certain soaps, fabrics, and lotions
  • Stress
  • Things you are allergic to, such as food, pollen, and animals

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases


[Learn More]

Atopic dermatitis Atopic dermatitis (also known as atopic eczema) is a disorder characterized by inflammation of the skin (dermatitis). The condition usually begins in early infancy, and it often disappears before adolescence. However, in some affected individuals the condition continues into adulthood; in others, it does not begin until adulthood. Hallmarks of atopic dermatitis include dry, itchy skin and red rashes that come and go. The rashes can occur on any part of the body, although the pattern tends to be different at different ages. In affected infants, the rashes commonly occur on the face, scalp, hands, and feet. In children, the rashes are usually found in the bend of the elbows and knees and on the front of the neck. In adolescents and adults, the rashes typically occur on the wrists, ankles, and eyelids in addition to the bend of the elbows and knees. Scratching the itchy skin can lead to oozing and crusting of the rashes and thickening and hardening (lichenification) of the skin. The itchiness can be so severe as to disturb sleep and impair a person's quality of life.The word "atopic" indicates an association with allergies. While atopic dermatitis is not always due to an allergic reaction, it is commonly associated with other allergic disorders: up to 60 percent of people with atopic dermatitis develop asthma or hay fever (allergic rhinitis) later in life, and up to 30 percent have food allergies. Atopic dermatitis is often the beginning of a series of allergic disorders, referred to as the "atopic march." Development of these disorders typically follows a pattern, beginning with atopic dermatitis, followed by food allergies, then hay fever, and finally asthma. However, not all individuals with atopic dermatitis will progress through the atopic march, and not all individuals with one allergic disease will develop others.Individuals with atopic dermatitis have an increased risk of developing other conditions related to inflammation, such as inflammatory bowel disease, rheumatoid arthritis, and hair loss caused by a malfunctioning immune reaction (alopecia areata). They also have an increased risk of having a behavioral or psychiatric disorder, such as attention-deficit/hyperactivity disorder (ADHD) or depression.In a particular subset of individuals with atopic dermatitis, the immune system is unable to protect the body from foreign invaders such as bacteria and fungi (which is known as immunodeficiency). These individuals are prone to recurrent infections. Most also have other allergic disorders, such as asthma, hay fever, and food allergies.Atopic dermatitis can also be a feature of separate disorders that have a number of signs and symptoms, which can include skin abnormalities and immunodeficiency. Some such disorders are Netherton syndrome; immune dysregulation, polyendocrinopathy, enteropathy, X-linked (IPEX) syndrome; and severe dermatitis, multiple allergies, metabolic wasting (SAM) syndrome.
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