R23.4
BillableChanges in skin texture
Changes in skin texture
Coding Notes
Inclusion Terms
Alternative clinical terms for this condition
- Desquamation of skin
- Induration of skin
- Scaling of skin
Excludes 1
Codes that cannot be used together with this code (mutual exclusion)
- epidermal thickening NOS (L85.9)
Excludes 2
Conditions not included here, but the patient may have both
- abnormal findings on antenatal screening of mother (O28.-)
- certain conditions originating in the perinatal period (P04-P96)
- signs and symptoms classified in the body system chapters
- signs and symptoms of breast (N63, N64.5)
- symptoms relating to breast (N64.4-N64.5)
Also Known As / Clinical Terms
SNOMED CT
- Parakeratosis ostracea7194005
- Parakeratosis scutularis7194005
- Circumoral rhytides9368001
- Perioral rhytides9368001
- Perioral wrinkles9368001
- Crow's feet10360000
- Periorbital rhytides10360000
- Thickening of skin17417006
- Decreased thickness of skin17719008
- Induration of skin34319007
- Parakeratosis of skin56585003
- Subcutaneous crepitus64205004
- Abnormal keratinisation69707008
- Abnormal keratinization69707008
- Increased thickness of skin85345005
- Increased keratinisation85363005
- Increased keratinization85363005
- Increased keratinocytic mass85363005
- Cracks in skin95321009
- Fissure in skin95321009
- Rhagades95321009
- Skin fissure95321009
- Splits in skin95321009
- Injection site induration95402002
- Decreased keratinisation111979000
- Decreased keratinization111979000
- Decreased keratinocytic mass111979000
- Finding of integrity of skin225547008
- Observation of health of skin225547008
- Observation of integrity of skin225547008
- Skin peeling disorder238643009
- Woody induration of skin and subcutis247431001
- Rugosity of skin247434009
- Wrinkled skin247434009
- Facial wrinkles248194004
- Lined face248194004
- Wrinkled face248194004
- Fine wrinkles on face248195003
- Cellulite248306003
- Fatty dimpling of skin248306003
- Scaliness of skin271761007
- Scaly skin271761007
- Crust on skin271765003
- Desquamation271767006
- Dropping of scales271767006
- Exfoliating271767006
- Flaking of skin271767006
- Peeling of skin271767006
- Shedding of scales271767006
- Thick skin271815000
- Changes in skin texture274672009
- Scaly scalp275887009
- Thin skin277797007
- Thinning of skin277797007
- Scaling of female perineum289858005
- Skin dimple301854006
- Finding of thickness of skin366649008
- Texture of skin or mucosa367394000
- Epidermal collarette370605002
- Desquamation of skin following febrile illness402345004
- Desquamation secondary to acute systemic illness402347007
- Skin eschar409590008
- Rhytide of forehead429193009
- Wrinkle of forehead429193009
- Frown line429356007
- Glabellar rhytide429356007
- Rhytide of glabellar skin429356007
- Wrinkle of glabellar skin429356007
- Diffuse palmoplantar keratoderma with painful fissures778062008
- Crack in skin of bilateral hands816992006
- Fissure in skin of bilateral hands816992006
- Crack in skin of bilateral feet816993001
- Fissure in skin of bilateral feet816993001
- Rough skin816995008
- Rough skin of hands829993001
- Painful dorsolateral fissure of fingertip1254895007
- Painful fissure of dorsolateral aspect of skin of fingertip1254895007
- Abnormal desquamation of epithelium1264086002
- Abnormal epithelial desquamation1264086002
- Induration of periwound skin241000161101
UMLS
- exfoliatedC0237849
- DesquamationC0237849
- Desquamation of skinC0237849
- Desquamation, functionC0237849
- Desquamation, function (observable entity)C0237849
- Desquamative stateC0237849
- Dropping of scalesC0237849
- ExfoliatingC0237849
- ExfoliationC0237849
- Exfoliation NOSC0237849
- Exfoliation of skinC0237849
- Flaking of skinC0237849
- Flaking skinC0237849
- Peeling of skinC0237849
- Peeling of skin (finding)C0237849
- Peeling skinC0237849
- ScalingC0237849
- Scaling of skinC0237849
- Scaling of the skinC0237849
- Scaling skinC0237849
- Scaly skinC0237849
- Shedding of scalesC0237849
- Skin desquamationC0237849
- Skin desquamation NOSC0237849
- Skin exfoliationC0237849
- Skin peelingC0237849
- Skin scalingC0237849
- desquamationC0237849
- exfoliateC0237849
- exfoliatingC0237849
- exfoliationC0237849
- flaking skinC0237849
- peelC0237849
- peelingC0237849
- peeling of skinC0237849
- peeling skinC0237849
- peeling skinsC0237849
- peelsC0237849
- scalingC0237849
- scaling skinC0237849
- skin desquamationC0237849
- skin exfoliationC0237849
- skin flakingC0237849
- skin peelC0237849
- skin peelingC0237849
- skin scalingC0237849
- Changes in skin textureC0159040
- Changes in skin texture (finding)C0159040
- Indurated skinC0241075
- Induration of skinC0241075
- Induration of skin (disorder)C0241075
- Skin IndurationC0241075
- Skin indurationC0241075
- Stiff skinC0241075
Frequently Asked Questions
What is ICD-10 code R23.4?
ICD-10-CM code R23.4 represents "Changes in skin texture". It is a billable/specific code that can be used on a claim.
Is R23.4 a billable code?
Yes, R23.4 is a billable/specific ICD-10-CM code and can be used to indicate a diagnosis on a medical claim.
What chapter is R23.4 in?
R23.4 is in Chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings (codes R00-R99).
What codes cannot be used with R23.4?
R23.4 has Excludes1 notes indicating codes that cannot be used together with it, including: epidermal thickening NOS (L85.9).
What SNOMED CT codes does R23.4 map to?
R23.4 maps to 46 SNOMED CT concepts: 1264086002, 69707008, 248306003, 274672009, 9368001, and 41 more. SNOMED CT is a clinical terminology used in electronic health records.
What are the UMLS CUIs for R23.4?
R23.4 is linked to 3 UMLS Concept Unique Identifiers: C0237849, C0159040, C0241075. The UMLS (Unified Medical Language System) integrates multiple biomedical vocabularies maintained by the U.S. National Library of Medicine.
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Includes SNOMED Clinical Terms® (SNOMED CT®) used by permission of SNOMED International. Includes content from the UMLS Metathesaurus, courtesy of the U.S. National Library of Medicine.