Mucocutaneous leishmaniasis, (American)

This code signifies a parasitic infection caused by Leishmania species, specifically affecting the skin and mucous membranes, primarily in the Americas. It is characterized by destructive lesions of the nose, mouth, and pharynx, often following a cutaneous lesion.

Apply this code when documentation clearly indicates mucocutaneous leishmaniasis, also known as espundia or American leishmaniasis. This diagnosis is typically confirmed by microscopic examination of tissue biopsies, PCR, or serological tests, with clinical presentation of progressive mucosal destruction.

• Differentiate from cutaneous leishmaniasis (085.4) which does not involve mucosal surfaces.
• Ensure documentation specifies mucosal involvement to justify this more severe form.
• Consider sequencing this code as the primary diagnosis when it is the reason for the encounter.