ICD-9 help - code lipodematosclerosis

dballard2004

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I agree! I can't find this in the dictionary or ICD-9 book either. I would check the spelling, then maybe we can find the correct code. Have a great day!:)
 

heathergirl

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Lipodermatosclerosis

Yes, this is the correct spellin. I could not find it in the dictiondary either, but I could find it online. It is the same thing as sclerosis, but fat is involed. I figured that it was a new dx or something, but I could not find any info on that. Is there a Dermatologist that could give on some insight on this dx. Thanks!
 

janetmoh

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It looks like it is caused by chronic venous insufficiency. When you look that up (459.8)the tabular tells you to use additional codes for any associated ulceration 707.10 - 707.9
 

heathergirl

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Thanks

Thank you so much for taking the time to research and respond.

Heather D Unklesbay, CPC,MA
Office Manager
 
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Eve

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Eve

I may be off base here but there is a dermatosclerosis in the ICD-9, with the code 710.1, with see also scleroderma
 

eandmcoder

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lipodermatosclerosis, aka panniculitis

Here's what I came up with--729.3_, which matched what one of my providers used.

Panniculitis, unspecified [aka lipodermatosclerosis] 729.3_
> 729.30 Panniculitis, unspecified site
> 729.31 Hypertrophy of fat pad, knee
> 729.39 Panniculitis, other site

Lipodermatosclerosis is one of the "complications of chronic venous insufficiency" (Clinical Policy Bulletin: Compression Garments for the Legs)

LIPODERMATOSCLEROSIS / PANNICULITIS
Category: fat disorder / Metabolic disorders
Body Site: leg Age: 65 years
Contributor: Margaret Moresi, MD

Description: At higher magnification, distinct lipomembranous changes can be appreciated as a feathery, eosinophilic lining to the thickened wall of the microcysts within the subcutaneous fat.
Comments: This condition is commonly associated with vascular insufficiency, especially stasis changes. A frequent clinical presentation is an "apple-core" or "inverted champagne bottle" appearance to the lower legs. The differential diagnosis would include other forms of mixed septal and lobular panniculitis, including factitial etiologies.
 

rxwhit

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Lipodermatosclerosis verses Panniculitis

Hello Fellow Coders,

If there is anyone out there that works for a dermatology or vascular please query your provider and ask if lipodermatosclerosis is the same as panniculitis.The last information that was posted on the AAPC forum was from 2007 and I would like something more recent.

Based on my research I have narrowed the code select down to he following:

#1 729.39 Panniculitis other site (above ankle) because that is the site occurrence for lipodermatosclerosis

#2 701.0 Scleroderma, circumscribed or locallized

#3 710.1Scleroderma

Thanks, Renee :confused:
 
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