Code microbial dry callus of the foot. Distinctive signs of dry corn and methods of its treatment

Dry corn (code in the ICD list 10 - L84) is an area on the skin with a compacted layer of the stratum corneum. It most commonly occurs on the feet and fingers and toes. Depending on the stage and type, it can cause pain, which in many cases is the main reason why they want to remove it.

The appearance of dry corns is influenced by 2 factors.

1. External - that as a result of which they appear.
2. Internal - additional circumstances that contribute to the emergence of these formations.

External include friction and pressure on a specific area of ​​the skin. The appearance of dry calluses on the hands is the result of their friction on the handles of working tools, sports equipment, musical instruments, etc. That is, they appear from almost all types of long physical manual work.

Dry calluses on the feet in most cases provoke: tight, narrow, uncomfortable shoes, poor materials of the shoes and socks, improper gait, flat feet. The internal causes of dry corns are the presence of health problems presented in the table below.

Disease	Influence and manifestations
Diabetes	With this disease, blood circulation in the tissues is disturbed, which reduces their ability to protect themselves. Dry corns in such cases often crack and allow various infections to enter the body. Neoplasms are difficult and take a long time to heal
Hypo- or avitaminosis	With insufficient amounts of vitamins A and E, the skin becomes fragile, and even a small scratch or friction provokes the appearance of seals.
Fungal infections	The presence of fungus on the feet makes the skin dry, irritated and inflamed. Then it thickens, especially on the heels, and cracks, which also contributes to the appearance of dry calluses.

To understand how the formation of dry callus occurs, it is necessary to know the process of skin keratinization. Briefly and in general terms, it looks like this.

1. During the synthesis of the horny substance, cells from the lower layers of the epidermis move to the upper ones.
2. They lose their internal structure and the ability to share.
3. Their shape also changes from round to scaly.

This process is continuous, during the replacement of the old stratum corneum with a new one, the first is exfoliated. Since dry callus is formed mainly due to pressure on the skin or friction, in this case, the cells of the stratum corneum simply die off. However, the scales do not have time to peel off. They overlap and thicken. This is the process of corn formation. But how to get rid of dry corns, we will discuss below. But first you need to figure out how they look and what their types are.

What are dry corns and how are they treated?

Depending on the cause, place and conditions, dry corns can be divided into several types:

• ordinary;
• corns;
• with rod.

Ordinary dry corn has the appearance of a small, round, compacted formation of red color, rising above the surface of the skin, with clearly defined boundaries. It is almost insensible and does not hurt if left untouched. However, when pressed or squeezed, pain may occur.

Many people know what a corns looks like. These are thickened areas of the skin on the feet, resulting from constant pressure on them while walking. They differ from ordinary corns in their large size and lack of clear boundaries.

Calluses most often occur between the toes and on the heels. A feature of this type of corns is the presence of a rod in the center that grows deep into the skin.

Such corns are the most painful: the rod can affect the deep layers of the epidermis and nerve endings. It is difficult to treat dry corns with a stem, and it is generally not recommended to do this at home. Basically, dry corns are not harmful to health and are often even useful: once the skin thickens, it means that it is under load, so protection is required.

If a person does not do this himself, then the body will take care of it. But when these formations interfere with comfortable movement or work, a person often wonders how to get rid of dry corns. Dry calluses can be removed at home or in beauty salons, and this often happens.

However, in severe cases, the best choice would be to go to the clinic: doctors know well how to remove such neoplasms. It is customary to treat dry corn by removing the keratinized layer of the skin. But in no case should you cut it off, so you can only complicate the situation. There are several ways to get rid of dry corns.

1. With the use of medications.
2. Methods of laser surgery.
3. Through the use of cryotherapy.

Medical treatment

It is understood that you can get rid of keratinized skin with various preparations (for example, such as cream, ointment, balm) sold in pharmacies. These funds can be divided into 3 groups:

• ointments and creams;
• anti-corn patches;
• anti-corn oils.

Cream and ointment may differ in composition and principle of action. A remedy for dry corns can be based on salicylic acid. Such a cream will gradually burn out the corn, which will lead to its complete disappearance. The product is carefully applied only to the area of ​​​​the callus, on clean, dry skin, fixed with a plaster on top.

There are various salicylic ointments on sale, in the nosological classification (ICD 10) of which the callus code is indicated. Dry corn can be treated with a lactic acid-based drug. The cream will soften the horny tissue, after which it can be scraped off.

Anti-corn patches, like ointments, can be on different bases. For example, there are patches impregnated with keratolic substances or castor oil. But the result of their action is the same: the skin softens, which allows the removal of dry calluses.

Dry corn can be softened and subsequently removed with anti-corn oils. These are oils such as linseed, olive, corn, castor. They are great for both prevention and treatment. They can be purchased at any pharmacy.

Anti-corn patch for feet

Surgical treatment and prevention methods

Since it is not always possible to get rid of dry corns at home, you can treat them in a hospital or a beauty salon, they know how to remove an annoying growth. This option, however, may not be to everyone's liking. For example, children may experience fear of the procedure. Therefore, the child must be prepared in advance: explain to him that this is necessary, since it will not work to cure the corn at home, and the doctor will do everything carefully and without pain.

What do modern surgery and cosmetology offer? Treatment of dry corns with a laser is a fairly popular method. There are 2 methods for removing formations in this way: using an erbium laser and carbon dioxide. In the first case, the skin of the corn evaporates, in the second, coagulation occurs.

The procedure lasts a couple of minutes under local anesthesia, so the person will not feel any pain. But in place of the former callus, wounds remain that will need to be looked after. One session is enough to completely remove the formation. The advantages of laser removal of corns are as follows.

1. Impact only on the problem area.
2. Laser disinfection of the treated area.
3. The procedure is painless.

In addition to the laser, there is such a method as cryodestruction - the destruction and removal of thickened skin formations using liquid nitrogen. Before the procedure, it is necessary to undergo an examination by a dermatologist. If he confirms the expediency of using cryodestruction, then treatment can begin.

During the session, liquid nitrogen is applied to the corn, after which it dies off and a wound remains in its place. Time, as with laser removal, the whole process takes a little - the same couple of minutes. After that, it remains only to care for the wound for 2 weeks until it heals. The advantages of cryodestruction are given below.

1. Doesn't take much time.
2. Removal occurs without blood.
3. There is no need for stitches.
4. Impact only on problem areas.

What to do in order to prevent the appearance of dry corns? For feet, you need to follow some rules: wearing comfortable shoes that are comfortable to walk in, good socks made of suitable material. To prevent the appearance of dry calluses on the hands, gloves should be worn during physical work. Whether it's working in the garden or playing sports on simulators.

If there are signs of the appearance of corns, then you can use a cream or ointment from dry corns to soften the skin or, as mentioned above, various oils. To verify the appropriateness of using the drug, you can check if there is an ICD 10 code in its nosological classification.

Dry calluses can sometimes be a nuisance, but these days there are many ways to get rid of them quickly.

CLASS XII. DISEASES OF THE SKIN AND SUBCUTANEOUS FIBRE (L00-L99)

This class contains the following blocks:
L00-L04 Infections of the skin and subcutaneous tissue
L10-L14 bullous disorders
L20-L30 Dermatitis and eczema
L40-L45 Papulosquamous disorders
L50-L54 Urticaria and erythema
L55-L59 Diseases of the skin and subcutaneous tissue associated with radiation
L60-L75 Diseases of the skin appendages
L80-L99 Other diseases of the skin and subcutaneous tissue

The following categories are marked with an asterisk:
L14* Bullous skin disorders in diseases classified elsewhere
L45* Papulosquamous disorders in diseases classified elsewhere

L54* Erythema in diseases classified elsewhere
L62* Nail changes in diseases classified elsewhere
L86* Keratoderma in diseases classified elsewhere
L99* Other disorders of the skin and subcutaneous tissue in diseases classified elsewhere

SKIN AND SUBCUTANEOUS TABLE INFECTIONS (L00-L08)

If it is necessary to identify the infectious agent, use an additional code ( B95-B97).

Excluded: hordeolum ( H00.0)
infectious dermatitis ( L30.3)
local skin infections classified in class I,
such as the:
erysipelas ( A46)
erysipeloid ( A26. -)
herpetic viral infection B00. -)
anogenital ( A60. -)
molluscum contagiosum ( B08.1)
mycoses ( B35-B49)
pediculosis, acariasis and other infestations ( B85-B89)
viral warts ( B07)
panniculitis:
NOS ( M79.3)
lupus ( L93.2)
neck and back ( M54.0)
recurrent [Weber-Christian] ( M35.6)
lip adhesion crack [jamming] (due to):
NOS ( K13.0)
candidiasis ( B37. -)
riboflavin deficiency ( E53.0)
pyogenic granuloma ( L98.0)
herpes zoster ( B02. -)

L00 Staphylococcal skin lesion syndrome in the form of burn-like blisters

Pemphigus of the newborn
Ritter's disease
Excludes: toxic epidermal necrolysis [Lyella] ( L51.2)

L01 Impetigo

Excludes: impetigo herpetiformis ( L40.1)
pemphigus of the newborn L00)

L01.0 Impetigo [caused by any organism] [any location]. Impetigo Bockhart
L01.1 Impetiginization of other dermatoses

L02 Skin abscess, furuncle and carbuncle

Includes: boil
furunculosis
Excludes: anus and rectum ( K61. -)
genital organs (external):
women's ( N76.4)
male ( N48.2, N49. -)

L02.0 Skin abscess, furuncle and carbuncle of the face
Excludes: external ear ( H60.0)
century ( H00.0)
head [any part other than the face] ( L02.8)
lacrimal:
glands ( H04.0)
paths ( H04.3)
mouth ( K12.2)
nose ( J34.0)
eye sockets ( H05.0)
submandibular ( K12.2)
L02.1 Skin abscess, furuncle and carbuncle of the neck

L02.2 Skin abscess, furuncle and carbuncle of the trunk. Abdominal wall. Back [any part except buttocks]. chest wall. Inguinal region. Perineum. navel
Excludes: mammary gland ( N61)
pelvic girdle ( L02.4)
omphalitis of the newborn P38)
L02.3 Skin abscess, furuncle and carbuncle of the buttocks. Gluteal region
Excludes: pilonidal cyst with abscess ( L05.0)
L02.4 Skin abscess, furuncle and carbuncle of the limb
L02.8 Skin abscess, furuncle and carbuncle of other localizations
L02.9 Skin abscess, furuncle and carbuncle of unspecified localization. Furunculosis NOS

L03 Phlegmon

Includes: acute lymphangitis
Excludes: phlegmon:
anus and rectum ( K61. -)
external auditory canal ( H60.1)
external genitalia:
women's ( N76.4)
male ( N48.2, N49. -)
century ( H00.0)
lacrimal apparatus ( H04.3)
mouth ( K12.2)
nose ( J34.0)
eosinophilic cellulitis [Vels] ( L98.3)
febrile (acute) neutrophilic dermatosis [Svita] ( L98.2)
lymphangitis (chronic) (subacute) ( I89.1)

L03.0 Phlegmon of fingers and toes
Nail infection. Onychia. Paronychia. Peronychia
L03.1 Phlegmon of other parts of the limbs
Armpit. Pelvic girdle. shoulder
L03.2 Phlegmon of the face
L03.3 Phlegmon of the body. Walls of the abdomen. Back [of any part]. chest wall. Groin. Perineum. navel
Excludes: neonatal omphalitis ( P38)
L03.8 Phlegmon of other localizations
Head [of any part other than the face]. scalp
L03.9 Phlegmon, unspecified

L04 Acute lymphadenitis

Includes: abscess (acute) of any lymph node
acute lymphadenitis) except mesenteric
Excludes: swollen lymph nodes ( R59. -)
human immunodeficiency virus disease
[HIV], manifesting as a generalized
lymphadenopathy ( B23.1)
lymphadenitis:
NOS ( I88.9)
chronic or subacute, other than mesenteric ( I88.1)
mesenteric nonspecific ( I88.0)

L04.0 Acute lymphadenitis of the face, head and neck
L04.1 Acute lymphadenitis of the trunk
L04.2 Acute lymphadenitis of the upper limb. Armpit. shoulder
L04.3 Acute lymphadenitis of the lower limb. pelvic girdle
L04.8 Acute lymphadenitis of other localizations
L04.9 Acute lymphadenitis, unspecified

L05 Pilonidal cyst

Includes: fistula coccygeal or
sinus) pilonidal

L05.0 Pilonidal cyst with abscess
L05.9 Pilonidal cyst without abscesses. Pilonidal cyst NOS

L08 Other local skin and subcutaneous tissue infections

L08.0 pyoderma
Dermatitis:
purulent
septic
pyogenic
Excludes: pyoderma gangrenosum L88)
L08.1 erythrasma
L08.8 Other specified local skin and subcutaneous tissue infections
L08.9 Local infection of skin and subcutaneous tissue, unspecified

BULLOUS DISORDERS (L10-L14)

Excludes: benign (chronic) familial pemphigus
[Hailey-Hailey disease] ( Q82.8)
syndrome of staphylococcal skin lesions in the form of burn-like blisters ( L00)
toxic epidermal necrolysis [Lyell's syndrome] ( L51.2)

L10 Pemphigus [pemphigus]

Excludes: pemphigus neonatal L00)

L10.0 Pemphigus vulgaris
L10.1 Pemphigus vegetative
L10.2 Pemphigus foliaceus
L10.3 Pemphigus brazilian
L10.4 Pemphigus is erythematous. Senier-Uscher Syndrome
L10.5 Pemphigus caused by drugs
L10.8 Other types of pemphigus
L10.9 Pemphigus, unspecified

L11 Other acantholytic disorders

L11.0 Acquired keratosis follicularis
Excludes: keratosis follicularis (congenital) [Darieu-White] ( Q82.8)
L11.1 Transient acantholytic dermatosis [Grover's]
L11.8 Other specified acantholytic changes
L11.9 Acantholytic changes, unspecified

L12 Pemphigoid

Excludes: herpes of pregnancy ( O26.4)
herpetiform impetigo ( L40.1)

L12.0 bullous pemphigoid
L12.1 Scarring pemphigoid. Benign mucosal pemphigoid [Levera]
L12.2 Chronic bullous disease in children. Juvenile dermatitis herpetiformis
L12.3 Acquired epidermolysis bullosa
Excludes: epidermolysis bullosa (congenital) ( Q81. -)
L12.8 Other pemphigiodes
L12.9 Pemphigoid, unspecified

L13 Other bullous changes

L13.0 Dermatitis herpetiformis. Duhring's disease
L13.1 Subcorneal pustular dermatitis. Sneddon-Wilkinson disease
L13.8 Other specified bullous changes
L13.9 Bullous changes, unspecified

L14* Bullous skin disorders in diseases classified elsewhere

DERMATITIS AND ECZEMA (L20-L30)

Note In this block, the terms "dermatitis" and "eczema" are used interchangeably synonymously.
Excludes: chronic (childhood) granulomatous disease ( D71)
dermatitis:
dry skin ( L85.3)
artificial ( L98.1)
gangrenous ( L88)
herpetiformis ( L13.0)
perioral ( L71.0)
stagnant ( I83.1 — I83.2 )
diseases of the skin and subcutaneous tissue associated with exposure to radiation ( L55-L59)

L20 Atopic dermatitis

Excludes: localized neurodermatitis ( L28.0)

L20.0 Scabies Beignet
L20.8 Other atopic dermatitis
Eczema:
flexion NEC
pediatric (acute) (chronic)
endogenous (allergic)
Neurodermatitis:
atopic (localized)
diffuse
L20.9 Atopic dermatitis, unspecified

L21 Seborrheic dermatitis

Excludes: infectious dermatitis ( L30.3)

L21.0 Seborrhea of ​​the head. "Baby cap"
L21.1 Seborrheic dermatitis in children
L21.8 Other seborrheic dermatitis
L21.9 Seborrheic dermatitis, unspecified

L22 Diaper dermatitis

Diaper:
erythema
rash
Psoriasis-like rash caused by diapers

L23 Allergic contact dermatitis

Includes: allergic contact eczema
Excludes: allergy NOS ( T78.4)
dermatitis:
NOS ( L30.9)
contact NOS ( L25.9)
diaper ( L22)
L27. -)
century ( H01.1)
simple irritable contact ( L24. -)
perioral ( L71.0)
eczema of the outer ear H60.5)
diseases of the skin and subcutaneous tissue associated with exposure to radiation ( L55-L59)

L23.0 Allergic contact dermatitis due to metals. Chrome. Nickel
L23.1 Allergic contact dermatitis due to adhesives
L23.2 Allergic contact dermatitis caused by cosmetics
L23.3 Allergic contact dermatitis caused by drugs in contact with the skin
If necessary, to identify the medicinal product, use an additional external cause code (class XX).
T88.7)
L27.0-L27.1)
L23.4 Allergic contact dermatitis caused by dyes
L23.5 Allergic contact dermatitis caused by other chemicals
Cement. insecticides. Plastic. Rubber

L23.6 Allergic contact dermatitis caused by food in contact with the skin
L27.2)
L23.7 Allergic contact dermatitis caused by plants other than food
L23.8 Allergic contact dermatitis due to other substances
L23.9 Allergic contact dermatitis, cause unknown. Allergic contact eczema NOS

L24 Simple irritant contact dermatitis

Includes: simple irritant contact eczema
Excludes: allergy NOS ( T78.4)
dermatitis:
NOS ( L30.9)
allergic contact ( L23. -)
contact NOS ( L25.9)
diaper ( L22)
caused by substances taken orally ( L27. -)
century ( H01.1)
perioral ( L71.0)
eczema of the outer ear H60.5)
diseases of the skin and subcutaneous tissue associated with
with exposure to radiation ( L55-L59)

L24.0 Simple irritant contact dermatitis caused by detergents
L24.1 Simple irritant contact dermatitis caused by oils and lubricants
L24.2 Simple irritant contact dermatitis caused by solvents
Solvents:
chlorine-containing)
cyclohexanoic)
ethereal)
glycolic) group
hydrocarbon)
ketone)
L24.3 Simple irritant contact dermatitis caused by cosmetics
L24.4 Irritant contact dermatitis caused by drugs in contact with the skin
If necessary, to identify the medicinal product, use an additional external cause code (class XX).
Excludes: drug-induced allergy NOS ( T88.7)
drug-induced dermatitis L27.0-L27.1)
L24.5 Simple irritant contact dermatitis caused by other chemicals
Cement. Insecticides
L24.6 Simple irritant contact dermatitis caused by food in contact with the skin
Excludes: dermatitis due to ingested food ( L27.2)
L24.7 Simple irritant contact dermatitis caused by plants other than food
L24.8 Simple irritant contact dermatitis caused by other substances. Dyes
L24.9 Simple irritant contact dermatitis, cause unspecified. Irritant contact eczema NOS

L25 Contact dermatitis, unspecified

Includes: contact eczema, unspecified
Excludes: allergy NOS ( T78.4)
dermatitis:
NOS ( L30.9)
allergic contact ( L23. -)
caused by substances taken orally ( L27. -)
century ( H01.1)
simple irritable contact ( L24. -)
perioral ( L71.0)
eczema of the outer ear H60.5)
lesions of the skin and subcutaneous tissue associated with
with exposure to radiation ( L55-L59)

L25.0 Unspecified contact dermatitis due to cosmetics
L25.1 Unspecified contact dermatitis due to drugs in contact with the skin
If necessary, to identify the medicinal product, use an additional external cause code (class XX).
Excludes: drug-induced allergy NOS ( T88.7)
drug-induced dermatitis L27.0-L27.1)
L25.2 Unspecified contact dermatitis due to dyes
L25.3 Unspecified contact dermatitis due to other chemicals. Cement. Insecticides
L25.4 Unspecified contact dermatitis due to food in contact with skin
Excludes: contact dermatitis due to ingested food ( L27.2)
L25.5 Unspecified contact dermatitis due to plants other than food
L25.8 Unspecified contact dermatitis due to other substances
L25.9 Unspecified contact dermatitis, cause unspecified
Contact(s):
dermatitis (occupational) NOS
eczema (occupational) NOS

L26 Exfoliative dermatitis

Pityriasis Gebra
Excludes: Ritter's disease ( L00)

L27 Dermatitis due to substances ingested

Excludes: unfavorable:
drug exposure NOS ( T88.7)
reaction to food, excluding dermatitis ( T78.0-T78.1)
allergic reaction NOS ( T78.4)
contact dermatitis ( L23-l25)
medicinal:
photoallergic reaction L56.1)
phototoxic reaction ( L56.0)
urticaria ( L50. -)

L27.0 Generalized skin rash caused by drugs and medications
If necessary, to identify the medicinal product, use an additional external cause code (class XX).
L27.1 Localized skin rash caused by drugs and medications
If necessary, to identify the medicinal product, use an additional external cause code (class XX).
L27.2 Dermatitis due to ingested food
Excludes: dermatitis caused by food in contact with skin ( L23.6, L24.6, L25.4)
L27.8 Dermatitis caused by other substances ingested
L27.9 Dermatitis due to unspecified substances ingested

L28 Lichen simplex chronicus and pruritus

L28.0 Simple chronic lichen. Limited neurodermatitis. Ringworm NOS
L28.1 Scabies knotty
L28.2 Another pruritus
Scabies:
NOS
Hebra
mitis
Urticaria papular

L29 Itching

Excludes: neurotic scratching of the skin ( L98.1)
psychogenic itching ( F45.8)

L29.0 Itching of the anus
L29.1 Itching of the scrotum
L29.2 Itching of the vulva
L29.3 Anogenital pruritus, unspecified
L29.8 Another itch
L29.9 Itching, unspecified. Itching NOS

L30 Other dermatitis

Excludes: dermatitis:
contact ( L23-L25)
dry skin ( L85.3)
small-plaque parapsoriasis ( L41.3)
stasis dermatitis ( I83.1-I83.2)

L30.0 Coin eczema
L30.1 Dyshidrosis [pompholyx]
L30.2 Skin autosensitization. Candidal. Dermatophytous. eczematous
L30.3 Infectious dermatitis
Infectious eczema
L30.4 Erythematous diaper rash
L30.5 Pityriasis white
L30.8 Other specified dermatitis
L30.9 Dermatitis, unspecified
Eczema NOS

PAPULOSQUAMOUS DISORDERS (L40-L45)

L40 Psoriasis

L40.0 Psoriasis vulgaris. Coin psoriasis. plaque
L40.1 Generalized pustular psoriasis. Impetigo herpetiformis. Zumbusch disease
L40.2 Acrodermatitis persistent [Allopo]
L40.3 Pustulosis palmar and plantar
L40.4 Guttate psoriasis
L40.5+ Arthropathic psoriasis ( M07.0-M07.3*, M09.0*)
L40.8 Another psoriasis. Flexion inverse psoriasis
L40.9 Psoriasis, unspecified

L41 Parapsoriasis

Excludes: atrophic vascular poikiloderma ( L94.5)

L41.0 Pityriasis lichenoid and pox-like acute. Fly-Habermann disease
L41.1 Pityriasis lichenoid chronic
L41.2 Lymphomatoid papulosis
L41.3 Small plaque parapsoriasis
L41.4 Large plaque parapsoriasis
L41.5 Reticulate parapsoriasis
L41.8 Other parapsoriasis
L41.9 Parapsoriasis, unspecified

L42 Pityriasis rosea [Gibera]

L43 Lichen red flat

Excludes: lichen planus ( L66.1)

L43.0 Lichen hypertrophic red flat
L43.1 Ringworm red flat bullous
L43.2 Lichen reaction to a drug
If necessary, to identify the medicinal product, use an additional external cause code (class XX).
L43.3 Lichen red flat subacute (active). Lichen red flat tropical
L43.8 Other lichen planus
L43.9 Ringworm red flat, unspecified

L44 Other papulosquamous changes

L44.0 Pityriasis red hairy pityriasis
L44.1 Lichen brilliant
L44.2 Lichen linear
L44.3 Ringworm red moniliformis
L44.4 Pediatric papular acrodermatitis [Gianotti-Crosti syndrome]
L44.8 Other specified papulosquamous changes
L44.9 Papulosquamous changes, unspecified

L45* Papulosquamous disorders in diseases classified elsewhere

urticaria and erythema (L50-L54)

Excludes: Lyme disease ( A69.2)
rosacea ( L71. -)

L50 Urticaria

Excludes: allergic contact dermatitis ( L23. -)
angioedema (angioedema) T78.3)
hereditary vascular edema ( E88.0)
Quincke's edema ( T78.3)
hives:
giant ( T78.3)
newborn ( P83.8)
papular ( L28.2)
pigmented ( Q82.2)
whey ( T80.6)
sunny ( L56.3)

L50.0 Allergic urticaria
L50.1 Idiopathic urticaria
L50.2 Urticaria caused by exposure to low or high temperatures
L50.3 Dermatographic urticaria
L50.4 vibration urticaria
L50.5 Cholinergic urticaria
L50.6 contact urticaria
L50.8 Other urticaria
Hives:
chronic
periodic recurring
L50.9 Urticaria, unspecified

L51 Erythema multiforme

L51.0 Non-bullous erythema multiforme
L51.1 Bullous erythema multiforme. Stevens-Johnson Syndrome
L51.2 Toxic epidermal necrolysis [Lyella]
L51.8 Other erythema multiforme
L51.9 Erythema multiforme, unspecified

L52 Erythema nodosum

L53 Other erythematous conditions

Excludes: erythema:
burn ( L59.0)
arising from skin contact with external agents ( L23-L25)
diaper rash ( L30.4)

L53.0 Toxic erythema
Use an additional external cause code (class XX) if necessary to identify the toxic substance.
Excludes: neonatal toxic erythema ( P83.1)
L53.1 Erythema annulare centrifugal
L53.2 Erythema marginal
L53.3 Other chronic patterned erythema
L53.8 Other specified erythematous conditions
L53.9 Erythematous condition, unspecified. Erythema NOS. erythroderma

L54* Erythema in diseases classified elsewhere

L54.0* Marginal erythema in acute articular rheumatism ( I00+)
L54.8* Erythema in other diseases classified elsewhere

DISEASES OF THE SKIN AND SUBCUTANEOUS FIBRE,
RELATED TO RADIATION EXPOSURE (L55-L59)

L55 Sunburn

L55.0 First degree sunburn
L55.1 Second degree sunburn
L55.2 Third degree sunburn
L55.8 Another sunburn
L55.9 Sunburn, unspecified

L56 Other acute skin changes caused by ultraviolet radiation

L56.0 drug phototoxic reaction
If necessary, to identify the medicinal product, use an additional external cause code (class XX).
L56.1 drug photoallergic reaction
If necessary, to identify the medicinal product, use an additional external cause code (class XX).
L56.2 Photocontact dermatitis
L56.3 solar urticaria
L56.4 Polymorphic light rash
L56.8 Other specified acute skin changes caused by ultraviolet radiation
L56.9 Acute skin change caused by ultraviolet radiation, unspecified

L57 Skin changes due to chronic exposure to non-ionizing radiation

L57.0 Actinic (photochemical) keratosis
Keratosis:
NOS
senile
solar
L57.1 actinic reticuloid
L57.2 Rhombic skin on the back of the head (neck)
L57.3 Poikiloderma Civatta
L57.4 Senile atrophy (flaccidity) of the skin. Senile elastosis
L57.5 Actinic [photochemical] granuloma
L57.8 Other skin changes caused by chronic exposure to non-ionizing radiation
Farmer's skin. Sailor skin. Solar dermatitis
L57.9 Skin change caused by chronic exposure to non-ionizing radiation, unspecified

L58 Radiation dermatitis, radiation

L58.0 Acute radiation dermatitis
L58.1 Chronic radiation dermatitis
L58.9 Radiation dermatitis, unspecified

L59 Other diseases of the skin and subcutaneous tissue associated with radiation

L59.0 Burn erythema [dermatitis ab igne]
L59.8 Other specified skin and subcutaneous tissue diseases associated with radiation
L59.9 Radiation-related skin and subcutaneous tissue disease, unspecified

DISEASES OF THE SKIN ADDITIONS (L60-L75)

Excludes: congenital malformations of integument ( Q84. -)

L60 Diseases of nails

Excludes: club nails ( R68.3)
onychia and paronychia ( L03.0)

L60.0 Ingrown nail
L60.1 Onycholysis
L60.2 Onychogryphosis
L60.3 Nail dystrophy
L60.4 Bo lines
L60.5 yellow nail syndrome
L60.8 Other nail diseases
L60.9 Disease of the nail, unspecified

L62* Nail changes in diseases classified elsewhere

L62.0* Club-shaped nail with pachydermoperiostosis ( M89.4+)
L62.8* Nail changes in other diseases classified elsewhere

L63 Alopecia areata

L63.0 Alopecia total
L63.1 Alopecia universalis
L63.2 Nest baldness (ribbon shape)
L63.8 Other alopecia areata
L63.9 Alopecia areata, unspecified

L64 Androgenetic alopecia

Included: male pattern baldness

L64.0 Androgenetic alopecia due to medication
If necessary, to identify the medicinal product, use an additional external cause code (class XX).
L64.8 Other androgenetic alopecia
L64.9 Androgenetic alopecia, unspecified

L65 Other non-scarring hair loss

Excludes: trichotillomania ( F63.3)

L65.0 Telogen hair loss
L65.1 Anagenic hair loss. Regenerating miasma
L65.2 Alopecia mucinous
L65.8 Other specified non-scarring hair loss
L65.9 Non-scarring hair loss, unspecified

L66 Scarring alopecia

L66.0 Alopecia spotted scarring
L66.1 Ringworm flat hair. Follicular lichen planus
L66.2 Folliculitis leading to baldness
L66.3 Perifolliculitis of the head abscessing
L66.4 Folliculitis reticular scarring erythematous
L66.8 Other scarring alopecia
L66.9 Scarring alopecia, unspecified

L67 Anomalies of hair color and hair shaft

Excludes: knotty hair ( Q84.1)
beaded hair ( Q84.1)
telogen hair loss ( L65.0)

L67.0 Trichorrhexis nodosum
L67.1 Hair color changes. Gray hair. Graying (premature). hair heterochromia
Poliosis:
NOS
limited acquired
L67.8 Other anomalies in the color of the hair and hair shaft. Hair breakage
L67.9 Anomaly of hair color and hair shaft, unspecified

L68 Hypertrichosis

Includes: excessive hairiness
Excludes: congenital hypertrichosis ( Q84.2)
resistant vellus hair ( Q84.2)

L68.0 hirsutism
L68.1 Hypertrichosis vellus hair acquired
If necessary, to identify the medicinal product that caused the violation, use an additional external cause code (class XX).
L68.2 Localized hypertrichosis
L68.3 Polytrichia
L68.8 Other hypertrichosis
L68.9 Hypertrichosis, unspecified

L70 Acne

Excludes: keloid acne ( L73.0)

L70.0 Common acne [acne vulgaris]
L70.1 Acne globular
L70.2 Smallpox acne. Acne necrotic miliary
L70.3 Tropical eels
L70.4 Baby acne
L70.5 Acne excoriee des jeunes filles
L70.8 Other acne
L70.9 Acne, unspecified

L71 Rosacea

L71.0 Perioral dermatitis
If necessary, to identify the medicinal product that caused the lesion, use an additional external cause code (class XX).
L71.1 Rinofima
L71.8 Another type of rosacea
L71.9 Rosacea, unspecified

L72 Follicular cysts of skin and subcutaneous tissue

L72.0 epidermal cyst
L72.1 Trichodermal cyst. Hair cyst. sebaceous cyst
L72.2 Stiatocystoma multiple
L72.8 Other follicular cysts of the skin and subcutaneous tissue
L72.9 Follicular cyst of skin and subcutaneous tissue, unspecified

L73 Other diseases of hair follicles

L73.0 Acne keloid
L73.1 Beard hair pseudofolliculitis
L73.2 Hydradenitis purulent
L73.8 Other specified diseases of follicles. Sycosis of the beard
L73.9 Disease of hair follicles, unspecified

L74 Diseases of merocrine [eccrine] sweat glands

Excludes: hyperhidrosis ( R61. -)

L74.0 Red prickly heat
L74.1 Crystal prickly heat
L74.2 The sweat is deep. Tropical anhidrosis
L74.3 Prickly heat, unspecified
L74.4 Anhidrosis. hypohidrosis
L74.8 Other diseases of the merocrine sweat glands
L74.9 Disturbance of merocrine sweating, unspecified. Sweat gland disorder NOS

L75 Diseases of apocrine sweat glands

Excludes: dyshidrosis [pompholyx] ( L30.1)
purulent hidradenitis ( L73.2)

L75.0 Bromhidrosis
L75.1 Chromhidrosis
L75.2 Apocrine sweating. Fox-Fordyce disease
L75.8 Other diseases of the apocrine sweat glands
L75.9 Defeat of apocrine sweat glands, unspecified

OTHER DISEASES OF THE SKIN AND SUBCUTANEOUS FIBRE (L80-L99)

L80 Vitiligo

L81 Other pigmentation disorders

Excludes: birthmark NOS ( Q82.5)
nevus - see Alphabetical index
Peutz-Gigers (Touraine) syndrome ( Q85.8)

L81.0 Post-inflammatory hyperpigmentation
L81.1 Chloasma
L81.2 Freckles
L81.3 coffee stains
L81.4 Other melanin hyperpigmentation. Lentigo
L81.5 Leucoderma, not elsewhere classified
L81.6 Other disorders associated with reduced melanin production
L81.7 Pigmented red dermatosis. Creeping angioma
L81.8 Other specified pigmentation disorders. iron pigmentation. tattoo pigmentation
L81.9 Pigmentation disorder, unspecified

L82 Seborrheic keratosis

Dermatosis papular black
Leather-Trela ​​disease

L83 Acanthosis nigricans

Confluent and reticular papillomatosis

L84 Corns and calluses

Callus (callus)
Wedge-shaped callus (clavus)

L85 Other epidermal thickenings

Excludes: hypertrophic skin conditions ( L91. -)

L85.0 Acquired ichthyosis
Excludes: congenital ichthyosis ( Q80. -)
L85.1 Acquired keratosis [keratoderma] palmoplantar
Excludes: hereditary keratosis palmoplantar ( Q82.8)
L85.2 Keratosis punctate (palm-plantar)
L85.3 Skin xerosis. Dry skin dermatitis
L85.8 Other specified epidermal thickenings. Skin horn
L85.9 Epidermal thickening, unspecified

L86* Keratoderma in diseases classified elsewhere

Follicular keratosis) due to insufficiency
Xeroderma) vitamin A ( E50.8+)

L87 Transepidermal perforated changes

Excludes: granuloma annulare (perforated) ( L92.0)

L87.0 Keratosis follicular and parafollicular penetrating the skin [Kyrle's disease]
Hyperkeratosis follicular penetrating
L87.1 Reactive perforating collagenosis
L87.2 Creeping perforating elastosis
L87.8 Other transepidermal perforation disorders
L87.9 Transepidermal perforation disorders, unspecified

L88 Pyoderma gangrenosum

Dermatitis gangrenous
Dead pyoderma

L89 Decubital ulcer

bedsore
Plaster cast ulcer
Pressure ulcer
Excludes: decubital (trophic) ulcer of the cervix ( N86)

L90 Atrophic skin lesions

L90.0 Lichen sclerosus and atrophic
L90.1 Anetodermia Schwenninger-Buzzi
L90.2 Anethoderma Jadasson-Pellisari
L90.3 Atrophoderma Pasini-Pierini
L90.4 Acrodermatitis chronic atrophic
L90.5 Cicatricial conditions and fibrosis of the skin. Soldered scar (skin). Scar. Disfigurement caused by a scar. Scar NOS
Excludes: hypertrophic scar ( L91.0)
keloid scar ( L91.0)
L90.6 Atrophic stripes (striae)
L90.8 Other atrophic skin changes
L90.9 Atrophic skin change, unspecified

L91 Hypertrophic skin changes

L91.0 Keloid scar. Hypertrophic scar. Keloid
Excludes: keloid acne ( L73.0)
scar NOS ( L90.5)
L91.8 Other hypertrophic skin changes
L91.9 Hypertrophic skin change, unspecified

L92 Granulomatous changes in skin and subcutaneous tissue

Excludes: actinic [photochemical] granuloma ( L57.5)

L92.0 Granuloma annulare. Perforated granuloma annulare
L92.1 Necrobiosis lipoidica, not elsewhere classified
Excluded: associated with diabetes mellitus ( E10-E14)
L92.2 Facial granuloma [eosinophilic granuloma of the skin]
L92.3 Granuloma of the skin and subcutaneous tissue caused by a foreign body
L92.8 Other granulomatous changes in the skin and subcutaneous tissue
L92.9 Granulomatous change of skin and subcutaneous tissue, unspecified

L93 Lupus erythematosus

Excludes: lupus:
ulcerative ( A18.4)
ordinary ( A18.4)
scleroderma ( M34. -)
systemic lupus erythematosus ( M32. -)
If necessary, to identify the drug that caused the lesion, use an additional external cause code (class XX).
L93.0 Discoid lupus erythematosus. Lupus erythematosus NOS
L93.1 Subacute cutaneous lupus erythematosus
L93.2 Another limited lupus erythematosus. Lupus erythematosus deep. Lupus panniculitis

L94 Other localized connective tissue disorders

Excludes: systemic connective tissue diseases ( M30-M36)

L94.0 Localized scleroderma. Limited scleroderma
L94.1 Linear scleroderma
L94.2 Skin calcification
L94.3 Sclerodactyly
L94.4 Gottron's papules
L94.5 Poikiloderma vascular atrophic
L94.6 Anyum [spontaneous dactylolysis]
L94.8 Other specified localized connective tissue changes
L94.9 Localized change in connective tissue, unspecified

L95 Vasculitis limited to skin, not elsewhere classified

Excludes: creeping angioma ( L81.7)
Henoch-Schonlein purpura ( D69.0)
hypersensitivity angiitis ( M31.0)
panniculitis:
NOS ( M79.3)
lupus ( L93.2)
neck and back ( M54.0)
recurrent (Weber-Christian) ( M35.6)
nodular polyarteritis ( M30.0)
rheumatoid vasculitis ( M05.2)
serum sickness ( T80.6)
urticaria ( L50. -)
Wegener's granulomatosis ( M31.3)

L95.0 Vasculitis with marbled skin. Atrophy white (plaque)
L95.1 Erythema sublime persistent
L95.8 Other vasculitis limited to the skin
L95.9 Vasculitis confined to the skin, unspecified

L97 Ulcer of lower limb, not elsewhere classified

L89)
gangrene ( R02)
skin infections ( L00-L08)
A00-B99
varicose ulcer ( I83.0 , I83.2 )

L98 Other diseases of skin and subcutaneous tissue, not elsewhere classified

L98.0 Pyogenic granuloma
L98.1 Artificial [artificial] dermatitis. Neurotic scratching of the skin
L98.2 Febrile neutrophilic dermatosis Sweet
L98.3 Wells' eosinophilic cellulitis
L98.4 Chronic skin ulcer, not elsewhere classified. Chronic skin ulcer NOS
Tropical ulcer NOS. Skin ulcer NOS
Excludes: decubital ulcer ( L89)
gangrene ( R02)
skin infections ( L00-L08)
specific infections classified in rubrics A00-B99
lower limb ulcer NEC ( L97)
varicose ulcer ( I83.0 , I83.2 )
L98.5 Skin mucinosis. Focal mucinosis. Lichen myxedematous
Excludes: focal oral mucinosis ( K13.7)
myxedema ( E03.9)
L98.6 Other infiltrative diseases of the skin and subcutaneous tissue
Excludes: hyalinosis of the skin and mucous membranes ( E78.8)
L98.8 Other specified diseases of skin and subcutaneous tissue
L98.9 Damage to skin and subcutaneous tissue, unspecified

L99* Other disorders of skin and subcutaneous tissue in diseases classified elsewhere

L99.0*Skin amyloidosis ( E85. -+)
nodular amyloidosis. Spotted amyloidosis
L99.8* Other specified changes in the skin and subcutaneous tissue in diseases classified elsewhere
Syphilitic:
alopecia ( A51.3+)
leukoderma ( A51.3+, A52.7+)

The disease is listed in the International Classification of Diseases of the 10th revision of ICD-10. Due to the large number of etiological factors that can lead to the development of a necrotic process, according to the ICD, the code for a trophic ulcer can be in different headings.

All variants of the ICD 10 code for a trophic ulcer on the leg

In the international classification, trophic ulcers of the lower extremities are classified as diseases of the skin and subcutaneous tissue. In this category, trophic ulcers belong to other diseases, i.e. not included in the rest of the classification. The subclass has nineteen sections listing various malnutrition and skin pigmentation disorders that are not included in the classification in the other subclasses.

The section to which trophic ulcers belong is L98, diseases not included in other sections.

Subsection L98.4 Chronic skin ulcer, not elsewhere classified. But this is the classification of an ulcer if its cause is not established.

A trophic ulcer with varicose veins has a completely different classification. Varicose veins belong to the class of diseases of the circulatory system, a subclass of diseases of the veins and lymphatic vessels.

For varicose veins of the lower extremities, a separate section I83 has been allocated, which includes four different variants of the course of the disease, including I83.0 - varicose veins complicated by an ulcer, and I83.2 - varicose veins complicated by an ulcer and inflammation. Varicose veins with only inflammation but no ulcer are reported as I83.1 and uncomplicated varices as I83.3.

Stages of development

• Appearance
• cleansing
• Granulation
• Scarring

initial stage characterized by the appearance of "lacquered" skin. There is redness and swelling. Liquid seeps through the "lacquered" skin. Over time, dead skin areas form whitish spots, under which a scab forms. The first stage can last for several weeks.

At the second stage development of an ulcer has a bloody or mucopurulent discharge. If it has an unpleasant pungent odor, then this indicates the presence of an infection. At the stage of cleansing, itching appears. As a rule, the second stage lasts about 1-1.5 months.

healing process trophic wound depends on the quality of treatment. Subject to all the doctor's recommendations, nutrition and tissue repair in the area of ​​​​the ulcer is enhanced. Otherwise, a relapse occurs. Repeated trophic wounds respond worse to treatment. In the third stage, the wound surface begins to decrease.

Features of treatment

Trophic ulcers of the lower extremities are treated depending on the type of ulceration and the cause that provoked them. Treatment is prescribed on the basis of histological, bacteriological and cytological examination. A trophic leg ulcer can be treated in two ways:

• Medical.
• Surgical.