R23.4 - Changes in skin texture
| ICD-10: | R23.4 |
| Short Description: | Changes in skin texture |
| Long Description: | Changes in skin texture |
| Status: | Valid for Submission |
| Version: | ICD-10-CM 2023 |
| Code Classification: |
R23.4 is a billable ICD-10 code used to specify a medical diagnosis of changes in skin texture. The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions.
According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Abnormal desquamation
- Abnormal keratinization
- Changes in skin texture
- Circumoral rhytides
- Crow's feet
- Decreased keratinization
- Decreased thickness of skin
- Desquamation of skin following febrile illness
- Desquamation secondary to acute systemic illness
- Diffuse palmoplantar keratoderma with painful fissures
- Epidermal collarette
- Fatty dimpling of skin
- Finding of integrity of skin
- Finding of integrity of skin
- Fine wrinkles on face
- Fissure in skin
- Fissure in skin of bilateral feet
- Fissure in skin of bilateral hands
- Increased desquamation
- Increased keratinization
- Increased thickness of skin
- Induration of periwound skin
- Induration of skin
- Injection site induration
- Localized desquamation
- Parakeratosis of skin
- Parakeratosis scutularis
- Peeling of skin
- Rhytide of forehead
- Rhytide of glabellar skin
- Rough skin
- Rough skin of hands
- Scab of skin
- Scaling of female perineum
- Scaly scalp
- Scaly skin
- Skin dimple
- Skin eschar
- Skin peeling disorder
- Skin peeling disorder
- Subcutaneous crepitus
- Texture of skin or mucosa
- Thick skin
- Thickening of skin
- Thickness of skin - finding
- Thickness of skin - finding
- Thin skin
- Woody induration of skin and subcutis
- Wrinkled face
- Wrinkled skin
Clinical Information
- Skin Eschar-. a crust that covers necrotic tissue in the skin that is caused by a burn or gangrene.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to this diagnosis code:
Inclusion Terms
Inclusion TermsThese terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Desquamation of skin
- Induration of skin
- Scaling of skin
Type 1 Excludes
Type 1 ExcludesA type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- epidermal thickening NOS L85.9
Index to Diseases and Injuries References
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 this diagnosis code are found in the injuries and diseases index:
- - Change (s) (in) (of) - See Also: Removal;
- - Crusts - R23.4
- - Desquamation, skin - R23.4
- - Fissure, fissured
- - skin - R23.4
- - Induration, indurated
- - skin - R23.4
- - Inelasticity, skin - R23.4
- - Loss (of)
- - elasticity, skin - R23.4
- - Parakeratosis - R23.4
- - Scabs - R23.4
- - Scales - R23.4
- - Scaling, skin - R23.4
- - Thickening
- - skin - R23.4
Convert to ICD-9 Code
| Source ICD-10 Code | Target ICD-9 Code | |
|---|---|---|
| R23.4 | 782.8 - Changes in skin texture |
Patient Education
Skin Conditions
Your skin is your body's largest organ. It covers and protects your body. Your skin:
- Holds body fluids in, preventing dehydration
- Keeps harmful microbes out, preventing infections
- Helps you feel things like heat, cold, and pain
- Keeps your body temperature even
- Makes vitamin D when the sun shines on it
Anything that irritates, clogs, or inflames your skin can cause symptoms such as redness, swelling, burning, and itching. Allergies, irritants, your genetic makeup, and certain diseases and immune system problems can cause rashes, hives, and other skin conditions. Many skin problems, such as acne, also affect your appearance.
NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases
[Learn More in MedlinePlus]
Code History
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)
