Wiki Sunscreen reaction

[grabow]

Looking at the ICD-9 and searching online I am not finding a definitive answer to code for allergic reaction to sunscreen.

I am in the 'Dermatitis Due To' section...looking at drugs and medicines properly administered, external 692.3...looking at cosmetics 692.81

Any suggestions?

 

[KimberlyLanier]

Try 995.3 unless the patient has unless the pateint does have dermatitis.

 

[ohn0disaster]

I think 995.27, allergic reaction to drug, medicinal substance, and biological (any) (correct medicinal substance properly administered) (external) (internal), would be a more specific code for "allergic reaction to sunscreen".

 

[grabow]

Okay, but as it is a skin reaction, shouldn't I go there?

Allergy, Skin Reaction, Specified Substance.

Then I am directed to Dermatitis, due to

 

[ohn0disaster]

Does the documentation say/ support a "skin reaction"? If word for word documentation is "allergic reaction to sunscreen", I would use 995.27. That's just me.
When I look at the Tabular List for the 692 code range, in the inclusions/exclusions, nowhere in the inclusions does it say "allergic reaction" but the exclusions does state allergy NOS. So I'd go to the 995 code range unless the documentation supports otherwise.

 

[mxi4123]

995.27 with E946.3 FOR ALLERGIC REACTION TO SUN SCREEN LOTION

 

[mitchellde]

It is a contact dermatitis so the 692 is the appropriate category with the E code E946.3, I think either the 692.3 or the 692.4 the exclude note under the 692 applies to ingested drugs.