Cutaneous leishmaniasis, American

This code signifies a parasitic infection of the skin caused by Leishmania species, specifically those endemic to the Americas. It typically presents as chronic skin lesions, such as papules, nodules, or ulcers, often at the site of a sandfly bite. The infection is confined to the skin and does not involve visceral organs or mucocutaneous tissues.

Use this code for documented cases of cutaneous leishmaniasis acquired in the Western Hemisphere. It is appropriate when diagnostic testing (e.g., biopsy, PCR, culture) confirms the presence of Leishmania parasites in skin lesions, and there is no evidence of mucosal or systemic involvement. Documentation should clearly specify the cutaneous form and geographic origin if known.

• Differentiate carefully from mucocutaneous leishmaniasis (e.g., 085.5) or visceral leishmaniasis (e.g., 085.0-085.3), which involve different body systems.
• Ensure the documentation specifies "cutaneous" and ideally mentions the American continent or a specific country within it, if known.
• Do not use for Old World cutaneous leishmaniasis, which is classified under a different code.