L85.1
Acquired keratosis [keratoderma] palmaris et plantaris
Clinical Classification Guidelines
Excludes Type 1
- inherited keratosis palmaris et plantaris (Q82.8)
Medical Intelligence & Overview
Acquired keratosis palmaris et plantaris is a skin condition characterized by thickening and hardening of the skin on the palms of the hands and soles of the feet. Also known as keratoderma, this condition develops over time and can affect daily activities due to discomfort or cosmetic concerns. It is classified under ICD-10 code L85.1 and is typically diagnosed based on physical examination and patient history.
Causes & Symptoms
Clinical Causes: Chronic pressure or friction on the palms and soles Genetic factors or family history of keratoderma Certain dermatological conditions or skin infections Underlying systemic diseases such as psoriasis or eczema Use of specific medications that may lead to skin changes Environmental factors like exposure to harsh chemicals or irritants Age-related skin changes
Key Symptoms: Thickened, scaly patches on the palms and/or soles Rough or hardened skin that may feel dry Potential cracking or fissures in the thickened areas Discomfort or tenderness, especially during pressure or friction Possible discoloration of the affected skin Itching or irritation in some cases
Diagnostic & Treatment
Diagnosis Path: Diagnosis is primarily through a physical examination by a healthcare provider, who observes the characteristic thickening of the skin. The doctor may inquire about the patient's medical history, occupational factors, and any hereditary conditions. In some instances, a skin biopsy might be performed to rule out other skin disorders or confirm the diagnosis, especially if the presentation is atypical. Laboratory tests are generally not required unless investigating underlying systemic conditions.
Treatment Protocols: Treatment strategies focus on managing symptoms and preventing progression. They include:
Clinical Advice & FAQs
Billing Guidance
Is L85.1 a billable ICD-10 code?
Yes, L85.1 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report L85.1?
Clinical documentation must specify the nature of Acquired keratosis [keratoderma] palmaris et plantaris and any associated comorbidities for accurate reporting.
Cite this Clinical Reference