ICD-11 code 1F28.Y is used to classify cases of “other specified dermatophytosis.” Dermatophytosis refers to a group of fungal infections that affect the skin, hair, and nails. This code is assigned when a specific type of dermatophytosis is present, but does not match any of the other specific codes available in the classification system.
Dermatophytosis is caused by various species of fungi known as dermatophytes. These fungi are able to invade and thrive in the keratinized tissues of the body, such as the skin, hair, and nails. Common examples of dermatophytosis include athlete’s foot, ringworm, and jock itch.
The term “other specified” in the ICD-11 code indicates that the type of dermatophytosis present has been further specified or described in the medical record. This additional specificity helps healthcare providers accurately document and classify the condition for proper diagnosis and treatment. Overall, ICD-11 code 1F28.Y plays a crucial role in organizing and categorizing cases of dermatophytosis for clinical and epidemiological purposes.
Table of Contents:
- #️⃣ Coding Considerations
- 🔎 Symptoms
- 🩺 Diagnosis
- 💊 Treatment & Recovery
- 🌎 Prevalence & Risk
- 😷 Prevention
- 🦠 Similar Diseases
#️⃣ Coding Considerations
1F28.Y in the SNOMED CT corresponds to “Other specified dermatophytosis” in the ICD-11. This specific code is used to categorize cases of dermatophytosis that do not fall into the already established subcategories outlined in the classification. Dermatophytosis, also known as ringworm, is a fungal infection that affects the skin, hair, or nails. By using SNOMED CT code 1F28.Y, healthcare professionals can accurately document cases of dermatophytosis that do not fit neatly into the predefined categories, ensuring proper diagnosis and treatment. The detailed nature of the SNOMED CT system allows for a comprehensive and precise classification of medical conditions, enabling healthcare providers to deliver tailored care to patients with unique or atypical presentations of dermatophytosis.
In the United States, ICD-11 is not yet in use. The U.S. is currently using ICD-10-CM (Clinical Modification), which has been adapted from the WHO’s ICD-10 to better suit the American healthcare system’s requirements for billing and clinical purposes. The Centers for Medicare and Medicaid Services (CMS) have not yet set a specific date for the transition to ICD-11.
The situation in Europe varies by country. Some European nations are considering the adoption of ICD-11 or are in various stages of planning and pilot studies. However, as with the U.S., full implementation may take several years due to similar requirements for system updates and training.
🔎 Symptoms
Symptoms of 1F28.Y (Other specified dermatophytosis) may include red, scaly patches on the skin, often in circular or oval shapes. These patches may be itchy or slightly raised. In some cases, the affected area may develop a raised border with a clear center, resembling a ring, hence the term “ringworm.”
Patients with 1F28.Y may also experience patches of hair loss on the scalp or beard area. These patches may be red, scaly, and slightly raised, with broken hair shafts visible on close inspection. Itching and burning sensations may accompany the hair loss, leading to discomfort and distress for the individual.
Individuals with 1F28.Y may exhibit symptoms such as nail thickening, discoloration, brittleness, or crumbling. These nail changes are often gradual and may affect one or more nails on the hands or feet. The affected nails may become distorted in shape and may detach from the nail bed over time. Nail involvement in dermatophytosis can be challenging to treat and may require long-term management.
🩺 Diagnosis
Diagnosis of 1F28.Y (Other specified dermatophytosis) typically involves a combination of physical examination and laboratory testing. Upon presentation of symptoms such as red, scaly patches on the skin, a healthcare provider will conduct a thorough examination to assess the extent of the infection. It is important to disclose any recent activities or exposures that may have contributed to the onset of dermatophytosis.
Laboratory testing plays a crucial role in confirming the diagnosis of 1F28.Y. One common method is the microscopic examination of skin scrapings or nail clippings to detect the presence of fungal elements. A potassium hydroxide (KOH) preparation may be used to enhance visualization of the fungi. In some cases, a culture of the affected area may be obtained to identify the specific species of dermatophyte responsible for the infection.
In certain instances, a skin biopsy may be performed to obtain a deeper tissue sample for analysis. This procedure may be recommended when the diagnosis is uncertain or if the infection is severe or recurrent. Histopathological examination of the biopsy specimen can provide valuable information about the nature and extent of the fungal invasion. Additionally, molecular methods such as polymerase chain reaction (PCR) testing may be utilized to detect specific genetic markers of dermatophytes in clinical samples.
💊 Treatment & Recovery
Treatment for 1F28.Y, or other specified dermatophytosis, typically involves the use of antifungal medications. Topical antifungal creams or ointments are commonly prescribed to be applied directly to the affected area. In some cases, oral antifungal medications may be recommended for severe or widespread infections.
In addition to medication, proper hygiene and care of the affected skin are important aspects of treatment. Keeping the affected area clean and dry can help prevent the spread of the infection. It is also important to avoid sharing personal items such as towels, clothing, or bedding to reduce the risk of infecting others or reinfecting oneself.
Recovery from 1F28.Y depends on the individual and the severity of the infection. In many cases, with proper treatment and care, dermatophytosis can be effectively treated and resolved within a few weeks. However, some cases may require longer treatment periods or additional interventions. It is essential to follow the treatment plan prescribed by a healthcare provider and to monitor the infection for any signs of improvement or worsening. Seeking medical attention if the infection does not improve or if new symptoms develop is crucial for successful recovery.
🌎 Prevalence & Risk
In the United States, the prevalence of 1F28.Y (Other specified dermatophytosis) is difficult to determine due to limited data on this specific condition. Dermatophytosis as a whole is a common fungal infection in the United States, affecting millions of individuals each year. However, cases of other specified dermatophytosis may be less common and therefore data on its prevalence may be scarce.
In Europe, the prevalence of 1F28.Y is also not well documented, as this specific type of dermatophytosis may not be a primary focus of research or surveillance efforts. Dermatophytosis in general is more commonly seen in European countries with temperate climates, where the fungi that cause these infections thrive. While cases of other specified dermatophytosis undoubtedly occur in Europe, it is likely that they are less frequently reported or studied compared to more common types of fungal skin infections.
In Asia, the prevalence of 1F28.Y may vary depending on the region and the prevalence of other types of dermatophytosis. Some Asian countries with tropical climates may see higher rates of dermatophytosis due to factors such as heat and humidity, which create ideal conditions for fungal growth. However, the specific prevalence of other specified dermatophytosis in Asia is unknown and may require further research to accurately assess the burden of this condition in the region.
Similarly, in Africa, the prevalence of 1F28.Y is not well understood, as data on this specific type of dermatophytosis may be lacking. Dermatophytosis is known to be a common skin infection in many African countries, particularly in regions with warm and humid climates. However, the prevalence of other specified dermatophytosis may not be well documented due to limited resources for research and surveillance of fungal skin infections in the region.
😷 Prevention
To prevent 1F28.Y (Other specified dermatophytosis), it is essential to take measures to avoid contact with the fungi that cause these infections. Good personal hygiene practices, such as regularly washing and drying skin thoroughly, can help prevent the spread of dermatophytes. Avoiding sharing personal items such as towels, clothing, and grooming tools with others can also reduce the risk of contracting these infections.
Regularly cleaning and disinfecting common areas where dermatophytes thrive, such as locker rooms, showers, and swimming pools, can help prevent the spread of these fungi. Wearing appropriate footwear in public places, especially those that are warm and moist, can also reduce the risk of coming into contact with dermatophytes. Additionally, individuals who are at a higher risk for dermatophytosis, such as those with weakened immune systems or underlying medical conditions, should take extra precautions to prevent infection.
Practicing good foot hygiene, such as regularly washing and drying feet, wearing clean socks, and changing shoes frequently, can help prevent fungal infections like athlete’s foot, which is a common type of dermatophytosis. Keeping skin dry and avoiding tight-fitting clothing can also help reduce the risk of developing dermatophyte infections in other areas of the body, such as the groin or armpits. For individuals who are prone to fungal infections, using antifungal powders or creams as a preventive measure may also be recommended by a healthcare provider.
Maintaining a healthy immune system through proper nutrition, regular exercise, and adequate sleep can help the body fight off fungal infections and prevent dermatophytosis. Limiting exposure to environments where fungi thrive, such as damp and humid conditions, can also reduce the risk of developing these infections. If a person suspects they have come into contact with dermatophytes or are experiencing symptoms of a fungal infection, seeking prompt medical attention and following treatment recommendations can help prevent the condition from worsening and spreading to others.
🦠 Similar Diseases
1G01.Y – Tinea corporis: This disease is a common fungal infection of the skin that causes red, circular patches with raised edges. Tinea corporis is caused by various species of dermatophytes and is commonly referred to as ringworm. It can be transmitted through direct skin-to-skin contact or contact with contaminated objects.
1F25.Y – Tinea pedis: Also known as athlete’s foot, tinea pedis is a fungal infection of the feet that causes itching, burning, and peeling skin. This condition is commonly found between the toes or on the soles of the feet and can be exacerbated by wearing tight-fitting shoes or moist environments. Tinea pedis is highly contagious and can be spread through contaminated surfaces such as shower floors or towels.
1F31.Y – Tinea cruris: This fungal infection, commonly known as jock itch, affects the groin area and inner thighs. Tinea cruris causes red, itchy rashes with flaking or peeling skin, and is more common in men than women. The warm, moist environment of the groin area provides an ideal breeding ground for the dermatophytes that cause this condition, which can be spread through direct skin contact.