ICD-10 Diagnosis Code L20.83

Infantile (acute) (chronic) eczema

Diagnosis Code L20.83

ICD-10: L20.83
Short Description: Infantile (acute) (chronic) eczema
Long Description: Infantile (acute) (chronic) eczema
This is the 2019 version of the ICD-10-CM diagnosis code L20.83

Valid for Submission
The code L20.83 is valid for submission for HIPAA-covered transactions.

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


Version 2019 Billable Code Pediatric Diagnoses

Information for Medical Professionals


Code Edits
The following 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).

Diagnostic Related Groups
The diagnosis code L20.83 is grouped in the following Diagnostic Related Group(s) (MS-DRG V35.0)

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

Convert to ICD-9
  • 690.12 - Sbrheic infantl drmtitis (Approximate Flag)

Synonyms
  • Acute eczema
  • Acute eczema
  • Acute hand eczema
  • Acute infantile eczema
  • Chronic eczema
  • Chronic hand eczema
  • Chronic infantile eczema
  • Dermatitis of anogenital region
  • Eczema
  • Eczema of face
  • Eczema of finger
  • Eczema of leg
  • Eczema of scalp
  • Eczema of wrist
  • Exacerbation of eczema
  • Facial eczema
  • Fingertip eczema
  • Firm nonpitting edema
  • Foot eczema
  • Generalized eczema
  • Hand and/or foot eczema
  • Hand eczema
  • Histologic type of inflammatory skin disorder
  • Infantile atopic dermatitis
  • Infantile eczema
  • Nonallergic eczema
  • Non-pitting edema
  • Site-specific eczema
  • Unclassifiable eczema

Index to Diseases and Injuries
References found for the code L20.83 in the Index to Diseases and Injuries:


Information for Patients


Eczema

Also called: Dermatitis

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

  • Atopic dermatitis - children - homecare (Medical Encyclopedia)
  • Atopic dermatitis -- self-care (Medical Encyclopedia)
  • Atopic eczema (Medical Encyclopedia)
  • Dyshidrotic eczema (Medical Encyclopedia)
  • Nummular eczema (Medical Encyclopedia)
  • Seborrheic dermatitis (Medical Encyclopedia)

[Read 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.
[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

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