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Thread: Dx Code for Perianal Streptococcal Dermatitis

  1. #1

    Question Dx Code for Perianal Streptococcal Dermatitis

    AAPC: Back to School
    One of our pediatricians has diagnosed a patient with Perianal Streptococcal Dermatitis. I can't find a diagnosis code specifically for this condition. I'm leaning toward 686.9 - Unspecified local infection of skin and subcutaneous tissue. The dermatitis codes (690 - 692) don't seem appropriate. Should I also code 041.00 - Streptococcus, Unspecified?

    I'd appreciate any assistance regarding this.

    Nancy, CPC, CPC-H

  2. #2
    Join Date
    Apr 2007
    Kingsport, TN

    Smile Dermatitis

    I agree with you except I think I would use code 686.8 as it states "Other specified..." And as you noted, I would also use code 041.00 as secondary diagnosis to further explain the condition. Hope this helps.

  3. #3
    Join Date
    Apr 2007
    Albany, New York


    When I run this through the 3M system, it takes me to 686.9
    Karen Maloney, CPC
    Data Quality Specialist

  4. #4


    I used 569.49 (perirectal infection) with the code for Strep as a secondary code.

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