55: DERMATITIS

COMMON/DISORDER SYNONYMS

• Contact dermatitis

• Seborrheic dermatitis

• Atopic dermatitis (AD)

ICD-9-CM CODES

• 692.0 Contact dermatitis and other eczema due to detergents

• 692.1 Contact dermatitis and other eczema due to oils and greases

• 692.2 Contact dermatitis and other eczema due to solvents

• 692.3 Contact dermatitis and other eczema due to drugs and medicines in contact with skin

• 692.4 Contact dermatitis and other eczema due to other chemical products

• 692.5 Contact dermatitis and other eczema due to food in contact with skin

• 692.6 Contact dermatitis and other eczema due to plants [except food]

• 692.7 Contact dermatitis and other eczema due to solar radiation

• 692.8 Contact dermatitis and other eczema due to other specified agents

• 692.84 Contact dermatitis and other eczema due to animal (cat) (dog) dander

• 692.89 Contact dermatitis and other eczema due to other specified agents

• 692.9 Contact dermatitis and other eczema, unspecified cause

ICD-10-CM CODE

• L20–L30 Dermatitis and eczema

PREFERRED PRACTICE PATTERN¹

• 7B: Impaired Integumentary Integrity Associated with Superficial Skin Involvement²

KEY FEATURES

Description

• Dermatitis is an inflammation of the skin.

• Dermatitis is a common condition that usually is not life threatening or contagious.

• It embraces a range of ailments that in most cases are characterized by red, itchy skin.

• Common types of dermatitis include

  • Contact dermatitis: Inflammation that occurs when substances touching the skin cause irritation or an allergic reaction.

  • AD or eczema: Chronic, relapsing, and inflammatory condition that results in itchy, inflamed, irritated skin.

    • These diseases often have an inherited tendency to develop alongside other allergic conditions such as asthma and hay fever.

  • Seborrheic dermatitis: Common skin disorder occurring in areas rich in sebaceous glands such as the scalp, ears, eyebrows, and chest, causing scaly, itchy red skin, and stubborn dandruff.

Essentials of Diagnosis

• Diagnosis is generally based on medical history and examination of the skin.

• Contact dermatitis: Diagnosis is based on medical history, the appearance of the skin, and a history of exposure to irritants or allergens.

• Seborrheic dermatitis: Diagnosis is based on history, appearance of the skin, physical, and skin biopsy.

• AD (eczema): Diagnosis is based on history and appearance of the skin.

• Skin lesion biopsies or skin cultures may be used to rule out other causes.

General Considerations

• Individuals in certain outdoor and manufacturing occupations are at ...