Acne excoriee

This code represents a form of acne characterized by excoriations (skin picking or scratching) that are often out of proportion to the underlying acne lesions. Patients typically present with self-inflicted erosions, crusts, and scars, frequently on the face, resulting from compulsive manipulation of minor or non-existent blemishes.

Use this code when documentation clearly indicates acne with significant excoriation, often described as neurotic excoriations or compulsive skin picking related to acne. Supporting documentation should detail the presence of self-induced skin lesions (e.g., erosions, ulcers, scars) alongside or instead of typical acne lesions.

• Differentiate from other forms of acne where excoriation is not the primary or defining feature.
• Ensure documentation specifies the excoriation is related to acne, not an independent psychiatric condition (e.g., dermatillomania without underlying acne).
• Consider co-reporting with appropriate mental health codes if a formal psychiatric diagnosis (e.g., obsessive-compulsive disorder, body dysmorphic disorder) is also documented and treated.