ICD-10-CM Billable Code

L55.1

Sunburn of second degree

Clinical Classification Guidelines

Medical Intelligence & Overview

Second-degree sunburn, classified under ICD-10 code L55.1, refers to a burn injury caused by overexposure to the sun's ultraviolet (UV) rays. This type of burn affects not only the outer layer of skin but also extends deeper into the underlying layers, resulting in a more serious skin injury than a first-degree sunburn.

Causes & Symptoms

Clinical Causes: Extended exposure to direct sunlight without protection Refracted sunlight from reflective surfaces like water, snow, or sand Prolonged sunbathing or outdoor activities without adequate sun protection measures Using tanning beds that emit UV radiation Having fair skin that burns easily

Key Symptoms: Redness and inflammation of affected skin, often more intense than a first-degree burn Pain or tenderness in the affected area Blister formation, which may contain clear fluid Swelling around the burned area Skin that appears moist or weepy due to blister rupture Possible peeling or flaking of the skin as it heals Sensitivity to touch and increased discomfort in the affected area

Diagnostic & Treatment

Diagnosis Path: Diagnosis of second-degree sunburn is primarily based on a physical examination by a healthcare professional. The presence of redness, blistering, and pain differentiates it from milder burns. No laboratory tests are generally required unless complications are suspected. Healthcare providers may assess the extent and depth of the burn to determine appropriate treatment strategies.

Treatment Protocols: Care for second-degree sunburn focuses on soothing the skin and preventing infection. Typical treatments include:

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 L55.1 a billable ICD-10 code?
Yes, L55.1 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report L55.1?
Clinical documentation must specify the nature of Sunburn of second degree and any associated comorbidities for accurate reporting.

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