ICD-10-CM Billable Code

L01.02

Bockhart's impetigo

Clinical Classification Guidelines

Inclusion Terms

  • Impetigo follicularis
  • Perifolliculitis NOS
  • Superficial pustular perifolliculitis

Medical Intelligence & Overview

Bockhart's impetigo is a form of impetigo, a common bacterial skin infection primarily affecting children but also occurring in adults. It is characterized by the development of superficial pustules and skin lesions, often around hair follicles, leading to crusted and sore skin. This condition falls under the broader category of impetigo follicularis and superficial pustular perifolliculitis, highlighting its association with hair follicle inflammation and pus-filled blisters.

Causes & Symptoms

Clinical Causes: Primarily caused by bacterial bacteria, especially Staphylococcus aureus and Streptococcus pyogenes. Spread through direct contact with infected skin lesions or by contaminated objects like towels, clothing, or bedding. Skin trauma or cuts can provide an entry point for bacteria, increasing susceptibility. Increased occurrence in crowded settings such as schools or daycare centers. Poor hygiene practices that facilitate bacterial proliferation on the skin.

Key Symptoms: Appearance of superficial pustules that are often surrounded by red, inflamed skin. Lesions typically develop around hair follicles, particularly on the face, arms, or legs. Crusting and oozing of the pustules, leading to yellow or honey-colored crusts on the skin. Mild to moderate itching or soreness in affected areas. Possible spreading of lesions if untreated, leading to multiple affected sites. In some cases, enlarged lymph nodes may be palpable near infected regions.

Diagnostic & Treatment

Diagnosis Path: Diagnosis generally involves a clinical examination of the skin lesions, noting their characteristic appearance. Sometimes, healthcare providers may take skin swabs from the pustules or crusts to identify the causative bacteria through laboratory testing. This helps differentiate impetigo from other skin conditions with similar presentations, such as herpes or contact dermatitis.

Treatment Protocols: Management of Bockhart's impetigo typically includes topical or oral antibiotics to eradicate the bacterial infection. Good skin hygiene practices are essential to prevent spreading and recurrence. Treatment approaches may involve: - Application of topical antibiotic ointments, such as mupirocin, directly onto the affected skin. - Oral antibiotics in more extensive cases or if multiple areas are involved. - Keeping the affected area clean and dry. - Avoiding sharing personal items like towels or clothing. - Regular handwashing and proper wound care. Follow-up with a healthcare professional is recommended to ensure complete resolution and to prevent complications.

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is L01.02 a billable ICD-10 code?
Yes, L01.02 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report L01.02?
Clinical documentation must specify the nature of Bockhart's impetigo and any associated comorbidities for accurate reporting.

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Related Diagnosis Codes

Clinical Meta Tags

impetigo