AAPC - Back to school
Page 1 of 2 12 LastLast
Results 1 to 10 of 11

Thread: ICD-9 help

  1. #1
    Join Date
    Apr 2007
    Daytona Beach

    Default ICD-9 help

    AAPC: Back to School
    Please help me code lipodematosclerosis. Thanks

    Heather D Unklesbay, CPC, MA
    Office Manager

  2. #2
    Join Date
    Apr 2007
    Greeley, Colorado


    I don't find that even in the dictionary...is this the correct spelling? Have you tried breaking down the term? In what context is it used?

  3. #3


    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!
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Compliance Auditor

  4. #4
    Join Date
    Apr 2007
    Daytona Beach

    Default 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!

  5. #5


    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

  6. #6
    Join Date
    Apr 2007
    Daytona Beach

    Default Thanks

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

    Heather D Unklesbay, CPC,MA
    Office Manager
    Last edited by heathergirl; 04-17-2008 at 09:58 AM.

  7. #7

    Smile lipodermatosclerosis

    I checked this term out, and it indicates that the this is a stasis dermatitis, eczema, venous insufficiency and if you look under all the terms I came up with the 454.1. This is the web site I went to.

    Hope it helps.

  8. #8
    Join Date
    Apr 2007

    Default 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

  9. #9

    Default 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)

    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.

  10. #10


    I agree 729.3

Page 1 of 2 12 LastLast

Similar Threads

  1. Replies: 0
    Last Post: 06-13-2015, 01:22 PM
  2. Physical Therapy ICD-9, ICD-10, & CPT Coding
    By mthomas-gedig in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 10-07-2014, 11:01 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.