Diseases of the Skin and Subcutaneous Tissue: Vital Statistics Program Insights
Explore essential points from Chapter 12, Module 18 of the Civil Registration & Vital Statistics Program, focusing on skin diseases and dermatological conditions. Understand key classifications, terminology, and coding processes by Dr. Nandalal Wijesekera. Dive into details on sunburn classification, contact dermatitis, and examples like Trichorrhexis invaginata. Enhance your knowledge of skin health with this comprehensive resource.
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Civil Registration & Vital Statistics Program Chapter 12, Module 18 Diseases of the Skin and Subcutaneous Tissue Dr. Nandalal Wijesekera (MBBS, MSc., MD) Consultant MCCD certification & ICD coding Vital Strategies
Chapter 12 Diseases of the skin & subcutaneous tissue Chapter 12 of your Volume 1 Page 189 of your Workbook
Important points for module 18 Categories range from L00 to L99 72 of the 100 available categories have been allocated There are 10 exclusions listed at the start of the chapter 8 of the exclusions listed are at chapter level, 1 at block level &1 at code level
Important points for module 18 There are 8 blocks. The exclusions always have the cross references stated in brackets. There are 6 asterisk categories. This chapter has many exclusions & inclusions.
Important points for module 18 The terms dermatitis & eczema are used synonymously & interchangeable Contact dermatitis is classified according to whether it is allergic, irritant or unspecified
Important points L55 sunburn is classified according to the depth of skin which is affected: First degree / erythema - affecting epidermis only Second degree/partial thickness affecting both epidermis & dermis causing possible blistering Third degree/ full thickness affecting epidermis, dermis & subcutaneous layers, usually causing extensive damage.
Example 1 1. Trichorrhexis invaginata Look up Trichorrhexis in the Index (Vol. 3) Trichorrhexis (nodosa) (invaginata) L67.0 Then look up L67.0 in the List (Vol. 1) L67.0 Trichorrhexis nodosa Assign the code L67.0
Example 2 3. Contact dermatitis due to cosmetics Look up Dermatitis in the Index (Vol. 3) Dermatitis - due to - - cosmetics (contact) L25.0 Then look up L25.0 in the List (Vol. 1) L25.0 Unspecified contact dermatitis due to cosmetics Assign the code L25.0
Example 3 14. Keloid scar Look up Scar in the Index (Vol. 3) Scar - keloid L91.0 Then look up L91.0 in the List (Vol. 1) L91.0 Keloid scar Hypertrophic scar Keloid Assign the code L91.0
Example 4 10. Look up Disorder in the Index (Vol. 3) Epidermal thickening due to a hypertrophic skin disorder Disorder - skin - - hypertrophic L91.9 Then look up L91.9 in the List (Vol. 1) L91.9 Hypertrophic disorder of skin, unspecified
Example 4 Look up Thickening in Index (Vol. 3) Thickening - epidermal - - specified L85.8 Look up L85.8 in the List (Vol. 1) L85 Other epidermal thickening Excludes: hypertrophic disorders of skin L91._ Assign the Code L91.8
Example 5 7. Focal oral mucinosis Look up Mucinosis in the Index (Vol. 3) Mucinosis (cutaneous) (focal) (papular) (skin) - Oral K13.7 Look up K13.7 in the List (Vol. 1) K13.7 Other and unspecified lesions of oral mucosa Assign the Code K13.7
A Hint ! Exercise 4 - Two Codes Exercise 11 - Four Codes
Answers for module 18 1. L67.0 2. L64.0 3. L25.0 4. L40.5 , M07.39* 5. L92.0 6. L93.0 7. K13.7 8. L27.2 9. L73.0 10. L91.8
Answers for module 18 11. L90.5, Z42.9, T95.9, Y86 12. L72.9 13. L05.0 14. L91.0 15. L71.9 16. L02.2 17. L89 18. L82 19. L60.0 20. L73.2
