Health Information Management

Xanthelasma

JustCoding News: Inpatient, March 17, 2010

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A xanthelasma is a skin condition in which a noticeable flat, noncancerous, yellow growth appears on the outside of the eyelid, usually close to the nose.

The formation of xanthelasma can indicate high cholesterol.

Signs and symptoms
Xanthelasmas cause no pain and are easy to spot. While their existence is not harmful or painful, many people choose to have them removed because they’re considered unsightly.

Treatment
Providers can remove xanthelasma with a trichloroacetic acid peel, surgery, or through the use of laser or cryotherapy. Patients often choose to have them removed for cosmetic purposes.

Documentation and coding
This condition stated without identification of site (e.g.eyelid) would be assigned as a code from categories describing disorders of lipoid metabolism.

ICD-9-CM coding

  • Xanthelasma: ICD-9-CM code 272.2
  • Xanthelasma, eyelid or palpebrarum: ICD-9-CM code 272.2 and 374.51

Code 374.51 is a manifestation code. You must first report the underlying condition using codes 272.0–272.9, disorders of lipoid metabolism.

ICD-10-CM coding

  • Xanthelasma: ICD-10-CM code H02.6x

Additional documentation
In ICD-10-CM, the 5th digit of the code will identify the side (i.e., right vs. left) and also whether the condition affected the upper or lower lid. There is not an instructional note about assigning a code for the disorder of lipoid metabolism separately, however if documented would likely be assigned to code E78.2.



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