Notification



Notification Issue Date:



Policy Attachment



Attachment to Policy # 11.08.06j


Attachment:A

Policy #:11.08.06j

Description:ICD-10 codes

Title:Panniculectomy, Abdominoplasty, and Other Excisions of Redundant Skin


Inclusion of a code in this table does not imply reimbursement. Eligibility, benefits, limitations, exclusions, precertification/referral requirements, provider contracts, and Company policies apply.

The codes listed below are updated on a regular basis, in accordance with nationally accepted coding guidelines. Therefore, this policy applies to any and all future applicable coding changes, revisions, or updates.

In order to ensure optimal reimbursement, all health care services, devices, and pharmaceuticals should be reported using the billing codes and modifiers that most accurately represent the services rendered, unless otherwise directed by the Company.



ICD-10 codes

B37.2 Candidiasis of skin and nail

B37.89 Other sites of candidiasis

B37.9 Candidiasis, unspecified

E65 Localized adiposity

K43.0 Incisional hernia with obstruction, without gangrene

K43.1 Incisional hernia with gangrene

K43.2 Incisional hernia without obstruction or gangrene

K43.3 Parastomal hernia with obstruction, without gangrene

K43.4 Parastomal hernia with gangrene

K43.5 Parastomal hernia without obstruction or gangrene

K43.6 Other and unspecified ventral hernia with obstruction, without gangrene

K43.7 Other and unspecified ventral hernia with gangrene

K43.9 Ventral hernia without obstruction or gangrene

K46.9 Unspecified abdominal hernia without obstruction or gangrene

K50.013 Crohn's disease of small intestine with fistula

K50.113 Crohn's disease of large intestine with fistula

K50.813 Crohn's disease of both small and large intestine with fistula

K50.913 Crohn's disease, unspecified, with fistula

K51.013 Ulcerative (chronic) pancolitis with fistula

K51.213 Ulcerative (chronic) proctitis with fistula

K51.313 Ulcerative (chronic) rectosigmoiditis with fistula

K51.413 Inflammatory polyps of colon with fistula

K51.513 Left sided colitis with fistula

K51.813 Other ulcerative colitis with fistula

K51.913 Ulcerative colitis, unspecified with fistula

K63.2 Fistula of intestine

K94.01 Colostomy hemorrhage

K94.09 Other complications of colostomy

K94.11 Enterostomy hemorrhage

K94.19 Other complications of enterostomy

L02.211 Cutaneous abscess of abdominal wall

L02.214 Cutaneous abscess of groin

L02.216 Cutaneous abscess of umbilicus

L02.219 Cutaneous abscess of trunk, unspecified

L02.31 Cutaneous abscess of buttock

L02.411 Cutaneous abscess of right axilla

L02.412 Cutaneous abscess of left axilla

L02.413 Cutaneous abscess of right upper limb

L02.414 Cutaneous abscess of left upper limb

L02.415 Cutaneous abscess of right lower limb

L02.416 Cutaneous abscess of left lower limb

L02.419 Cutaneous abscess of limb, unspecified

L03.111 Cellulitis of right axilla

L03.112 Cellulitis of left axilla

L03.113 Cellulitis of right upper limb

L03.114 Cellulitis of left upper limb

L03.115 Cellulitis of right lower limb

L03.116 Cellulitis of left lower limb

L03.119 Cellulitis of unspecified part of limb

L03.311 Cellulitis of abdominal wall

L03.314 Cellulitis of groin

L03.316 Cellulitis of umbilicus

L03.319 Cellulitis of trunk, unspecified

L03.321 Acute lymphangitis of abdominal wall

L03.324 Acute lymphangitis of groin

L03.326 Acute lymphangitis of umbilicus

L03.329 Acute lymphangitis of trunk, unspecified

L08.0 Pyoderma

L08.1 Erythrasma

L08.89 Other specified local infections of the skin and subcutaneous tissue

L08.9 Local infection of the skin and subcutaneous tissue, unspecified

L30.4 Erythema intertrigo

L53.8 Other specified erythematous conditions

L54 Erythema in diseases classified elsewhere

L90.5 Scar conditions and fibrosis of skin

L90.9 Atrophic disorder of skin, unspecified

L91.0 Hypertrophic scar

L91.9 Hypertrophic disorder of the skin, unspecified

L97.101 Non-pressure chronic ulcer of unspecified thigh limited to breakdown of skin

L97.102 Non-pressure chronic ulcer of unspecified thigh with fat layer exposed

L97.103 Non-pressure chronic ulcer of unspecified thigh with necrosis of muscle

L97.104 Non-pressure chronic ulcer of unspecified thigh with necrosis of bone

L97.105 Non-pressure chronic ulcer of unspecified thigh with muscle involvement without evidence of necrosis

L97.106 Non-pressure chronic ulcer of unspecified thigh with bone involvement without evidence of necrosis

L97.108 Non-pressure chronic ulcer of unspecified thigh with other specified severity

L97.109 Non-pressure chronic ulcer of unspecified thigh with unspecified severity

L97.111 Non-pressure chronic ulcer of right thigh limited to breakdown of skin

L97.112 Non-pressure chronic ulcer of right thigh with fat layer exposed

L97.113 Non-pressure chronic ulcer of right thigh with necrosis of muscle

L97.114 Non-pressure chronic ulcer of right thigh with necrosis of bone

L97.115 Non-pressure chronic ulcer of right thigh with muscle involvement without evidence of necrosis

L97.116 Non-pressure chronic ulcer of right thigh with bone involvement without evidence of necrosis

L97.118 Non-pressure chronic ulcer of right thigh with other specified severity

L97.119 Non-pressure chronic ulcer of right thigh with unspecified severity

L97.121 Non-pressure chronic ulcer of left thigh limited to breakdown of skin

L97.122 Non-pressure chronic ulcer of left thigh with fat layer exposed

L97.123 Non-pressure chronic ulcer of left thigh with necrosis of muscle

L97.124 Non-pressure chronic ulcer of left thigh with necrosis of bone

L97.125 Non-pressure chronic ulcer of left thigh with muscle involvement without evidence of necrosis

L97.126 Non-pressure chronic ulcer of left thigh with bone involvement without evidence of necrosis

L97.128 Non-pressure chronic ulcer of left thigh with other specified severity

L97.129 Non-pressure chronic ulcer of left thigh with unspecified severity

L97.205 Non-pressure chronic ulcer of unspecified calf with muscle involvement without evidence of necrosis

L97.206 Non-pressure chronic ulcer of unspecified calf with bone involvement without evidence of necrosis

L97.208 Non-pressure chronic ulcer of unspecified calf with other specified severity

L97.215 Non-pressure chronic ulcer of right calf with muscle involvement without evidence of necrosis

L97.216 Non-pressure chronic ulcer of right calf with bone involvement without evidence of necrosis

L97.218 Non-pressure chronic ulcer of right calf with other specified severity

L97.225 Non-pressure chronic ulcer of left calf with muscle involvement without evidence of necrosis

L97.226 Non-pressure chronic ulcer of left calf with bone involvement without evidence of necrosis

L97.228 Non-pressure chronic ulcer of left calf with other specified severity

L97.305 Non-pressure chronic ulcer of unspecified ankle with muscle involvement without evidence of necrosis

L97.306 Non-pressure chronic ulcer of unspecified ankle with bone involvement without evidence of necrosis

L97.308 Non-pressure chronic ulcer of unspecified ankle with other specified severity

L97.315 Non-pressure chronic ulcer of right ankle with muscle involvement without evidence of necrosis

L97.316 Non-pressure chronic ulcer of right ankle with bone involvement without evidence of necrosis

L97.318 Non-pressure chronic ulcer of right ankle with other specified severity

L97.325 Non-pressure chronic ulcer of left ankle with muscle involvement without evidence of necrosis

L97.326 Non-pressure chronic ulcer of left ankle with bone involvement without evidence of necrosis

L97.328 Non-pressure chronic ulcer of left ankle with other specified severity

L97.405 Non-pressure chronic ulcer of unspecified heel and midfoot with muscle involvement without evidence of necrosis

L97.406 Non-pressure chronic ulcer of unspecified heel and midfoot with bone involvement without evidence of necrosis

L97.408 Non-pressure chronic ulcer of unspecified heel and midfoot with other specified severity

L97.415 Non-pressure chronic ulcer of right heel and midfoot with muscle involvement without evidence of necrosis

L97.416 Non-pressure chronic ulcer of right heel and midfoot with bone involvement without evidence of necrosis

L97.418 Non-pressure chronic ulcer of right heel and midfoot with other specified severity

L97.425 Non-pressure chronic ulcer of left heel and midfoot with muscle involvement without evidence of necrosis

L97.426 Non-pressure chronic ulcer of left heel and midfoot with bone involvement without evidence of necrosis

L97.428 Non-pressure chronic ulcer of left heel and midfoot with other specified severity

L97.505 Non-pressure chronic ulcer of other part of unspecified foot with muscle involvement without evidence of necrosis

L97.506 Non-pressure chronic ulcer of other part of unspecified foot with bone involvement without evidence of necrosis

L97.508 Non-pressure chronic ulcer of other part of unspecified foot with other specified severity

L97.515 Non-pressure chronic ulcer of other part of right foot with muscle involvement without evidence of necrosis

L97.516 Non-pressure chronic ulcer of other part of right foot with bone involvement without evidence of necrosis

L97.518 Non-pressure chronic ulcer of other part of right foot with other specified severity

L97.525 Non-pressure chronic ulcer of other part of left foot with muscle involvement without evidence of necrosis

L97.526 Non-pressure chronic ulcer of other part of left foot with bone involvement without evidence of necrosis

L97.528 Non-pressure chronic ulcer of other part of left foot with other specified severity

L97.801 Non-pressure chronic ulcer of other part of unspecified lower leg limited to breakdown of skin

L97.802 Non-pressure chronic ulcer of other part of unspecified lower leg with fat layer exposed

L97.803 Non-pressure chronic ulcer of other part of unspecified lower leg with necrosis of muscle

L97.804 Non-pressure chronic ulcer of other part of unspecified lower leg with necrosis of bone

L97.805 Non-pressure chronic ulcer of other part of unspecified lower leg with muscle involvement without evidence of necrosis

L97.806 Non-pressure chronic ulcer of other part of unspecified lower leg with bone involvement without evidence of necrosis

L97.808 Non-pressure chronic ulcer of other part of unspecified lower leg with other specified severity

L97.809 Non-pressure chronic ulcer of other part of unspecified lower leg with unspecified severity

L97.811 Non-pressure chronic ulcer of other part of right lower leg limited to breakdown of skin

L97.812 Non-pressure chronic ulcer of other part of right lower leg with fat layer exposed

L97.813 Non-pressure chronic ulcer of other part of right lower leg with necrosis of muscle

L97.814 Non-pressure chronic ulcer of other part of right lower leg with necrosis of bone

L97.815 Non-pressure chronic ulcer of other part of right lower leg with muscle involvement without evidence of necrosis

L97.816 Non-pressure chronic ulcer of other part of right lower leg with bone involvement without evidence of necrosis

L97.818 Non-pressure chronic ulcer of other part of right lower leg with other specified severity

L97.819 Non-pressure chronic ulcer of other part of right lower leg with unspecified severity

L97.821 Non-pressure chronic ulcer of other part of left lower leg limited to breakdown of skin

L97.822 Non-pressure chronic ulcer of other part of left lower leg with fat layer exposed

L97.823 Non-pressure chronic ulcer of other part of left lower leg with necrosis of muscle

L97.824 Non-pressure chronic ulcer of other part of left lower leg with necrosis of bone

L97.825 Non-pressure chronic ulcer of other part of left lower leg with muscle involvement without evidence of necrosis

L97.826 Non-pressure chronic ulcer of other part of left lower leg with bone involvement without evidence of necrosis

L97.828 Non-pressure chronic ulcer of other part of left lower leg with other specified severity

L97.829 Non-pressure chronic ulcer of other part of left lower leg with unspecified severity

L97.901 Non-pressure chronic ulcer of unspecified part of unspecified lower leg limited to breakdown of skin

L97.902 Non-pressure chronic ulcer of unspecified part of unspecified lower leg with fat layer exposed

L97.903 Non-pressure chronic ulcer of unspecified part of unspecified lower leg with necrosis of muscle

L97.904 Non-pressure chronic ulcer of unspecified part of unspecified lower leg with necrosis of bone

L97.905 Non-pressure chronic ulcer of unspecified part of unspecified lower leg with muscle involvement without evidence of necrosis

L97.906 Non-pressure chronic ulcer of unspecified part of unspecified lower leg with bone involvement without evidence of necrosis

L97.908 Non-pressure chronic ulcer of unspecified part of unspecified lower leg with other specified severity

L97.909 Non-pressure chronic ulcer of unspecified part of unspecified lower leg with unspecified severity

L97.911 Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin

L97.912 Non-pressure chronic ulcer of unspecified part of right lower leg with fat layer exposed

L97.913 Non-pressure chronic ulcer of unspecified part of right lower leg with necrosis of muscle

L97.914 Non-pressure chronic ulcer of unspecified part of right lower leg with necrosis of bone

L97.915 Non-pressure chronic ulcer of unspecified part of right lower leg with muscle involvement without evidence of necrosis

L97.916 Non-pressure chronic ulcer of unspecified part of right lower leg with bone involvement without evidence of necrosis

L97.918 Non-pressure chronic ulcer of unspecified part of right lower leg with other specified severity

L97.919 Non-pressure chronic ulcer of unspecified part of right lower leg with unspecified severity

L97.921 Non-pressure chronic ulcer of unspecified part of left lower leg limited to breakdown of skin

L97.922 Non-pressure chronic ulcer of unspecified part of left lower leg with fat layer exposed

L97.923 Non-pressure chronic ulcer of unspecified part of left lower leg with necrosis of muscle

L97.924 Non-pressure chronic ulcer of unspecified part of left lower leg with necrosis of bone

L97.925 Non-pressure chronic ulcer of unspecified part of left lower leg with muscle involvement without evidence of necrosis

L97.926 Non-pressure chronic ulcer of unspecified part of left lower leg with bone involvement without evidence of necrosis

L97.928 Non-pressure chronic ulcer of unspecified part of left lower leg with other specified severity

L97.929 Non-pressure chronic ulcer of unspecified part of left lower leg with unspecified severity

L98.411 Non-pressure chronic ulcer of buttock limited to breakdown of skin

L98.412 Non-pressure chronic ulcer of buttock with fat layer exposed

L98.413 Non-pressure chronic ulcer of buttock with necrosis of muscle

L98.414 Non-pressure chronic ulcer of buttock with necrosis of bone

L98.415 Non-pressure chronic ulcer of buttock with muscle involvement without evidence of necrosis

L98.416 Non-pressure chronic ulcer of buttock with bone involvement without evidence of necrosis

L98.418 Non-pressure chronic ulcer of buttock with other specified severity

L98.419 Non-pressure chronic ulcer of buttock with unspecified severity

L98.421 Non-pressure chronic ulcer of back limited to breakdown of skin

L98.422 Non-pressure chronic ulcer of back with fat layer exposed

L98.423 Non-pressure chronic ulcer of back with necrosis of muscle

L98.424 Non-pressure chronic ulcer of back with necrosis of bone

L98.425 Non-pressure chronic ulcer of back with muscle involvement without evidence of necrosis

L98.426 Non-pressure chronic ulcer of back with bone involvement without evidence of necrosis

L98.428 Non-pressure chronic ulcer of back with other specified severity

L98.429 Non-pressure chronic ulcer of back with unspecified severity

L98.49 Non-pressure chronic ulcer of skin of other sites with fat layer exposed

L98.491 Non-pressure chronic ulcer of skin of other sites limited to breakdown of skin

L98.493 Non-pressure chronic ulcer of skin of other sites with necrosis of muscle

L98.494 Non-pressure chronic ulcer of skin of other sites with necrosis of bone

L98.495 Non-pressure chronic ulcer of skin of other sites with muscle involvement without evidence of necrosis

L98.496 Non-pressure chronic ulcer of skin of other sites with bone involvement without evidence of necrosis

L98.498 Non-pressure chronic ulcer of skin of other sites with other specified severity

L98.499 Non-pressure chronic ulcer of skin of other sites with unspecified severity

L98.8 Other specified disorders of the skin and subcutaneous tissue

M79.3 Panniculitis, unspecified

T81.30xA Disruption of wound, unspecified, initial encounter

T81.30xD Disruption of wound, unspecified, subsequent encounter

T81.30xS Disruption of wound, unspecified, sequela

T81.31xA Disruption of external operation (surgical) wound, not elsewhere classified, initial encounter

T81.31xD Disruption of external operation (surgical) wound, not elsewhere classified, subsequent encounter

T81.31xS Disruption of external operation (surgical) wound, not elsewhere classified, sequela

T81.32xA Disruption of internal operation (surgical) wound, not elsewhere classified, initial encounter

T81.32xD Disruption of internal operation (surgical) wound, not elsewhere classified, subsequent encounter

Version Effective Date: 10/01/2018
Version Issued Date: 10/01/2018
Version Reissued Date: 06/05/2019



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