<> Am J Clin Dermatol. Interventions for guttate psoriasis. CPT Code 96910. The authors concluded that among their pediatric patients, these investigators noted a predominance of CD8(+) LyP, which did not appear to have an aggressive course. Language services can be provided by calling the number on your member ID card. 2004;43(8):555-561. Ferrandiz C, Carrascosa JM, Just M, et al. 2009;61(6):993-1000. NB-UVB phototherapy in hospitalized COVID-19 patients was safe. These researchers stated that further studies are needed. An alternative in patients with infrequent exacerbations, particularly those who require rapid improvement, is a short course of systemic glucocorticoids, For patients who develop frequent exacerbations during the spring and summer, we suggest prophylactic phototherapy in early spring, Juvenile spring eruption is a variant of PMLE that is manifested by erythematous papules or bullae typically on ears of children or adolescents after sun exposure. Khaled A, Kerkeni N, Baccouche D, et al. 2006;74(10):1729-1734. Ko MJ, Yang JY, Wu HY, et al. N Engl J Med. Int J Dermatol. The American Academy of Professional Coders (AAPC) 2015 data showed that the average wage for a Certified Treatment of chronic graft-versus-host disease with ultraviolet irradiation and psoralen (PUVA). This power calculation will be used to refine the biostatistical considerations for the planned, larger clinical trial. Accessed July 19, 2018. Claes C, Kulp W, Greiner W, et al. The interpretation of the results was biased by the possible auto-resolution of the disease, the sample heterogeneity between children and adults and the short follow-up period of the studies. Alabdulkareem AS, Abahussein AA, Okoro A. Narrowband UVB and psoralen-UVA in the treatment of early-stage mycosis fungoides: A retrospective study. 2000;136:748-752. stream Narrow-band ultraviolet B radiation: A review of the current literature. Cutaneous manifestations of amyloidosis. Phototherapy and photochemotherapy of sclerosing skin diseases. Whitton ME, Ashcroft DM, Barrett CW, Gonzalez U. Lymphomatoid papulosis associated with recurrent cutaneous T-cell lymphoma. There was a lack of high level of evidence studies on PL treatment. 2001;20(1):27-37. In most studies, UV phototherapy (NB-UVB, broadband UVB, UVA1 or PUVA) was employed. Patients in treatment (n = 15) and placebo (n = 15) arms had similar demographics. Zheng Y, Jia J, Tian Q, et al. Waltham, MA: UpToDate; reviewed December 2021. J Eur Acad Dermatol Venereol. Koreck AI, Csoma Z, Bodai L, et al. The main drawbacks of this trial were that this was a single-case study; and the hypersensitive rash was caused by the ingestion of an Ecstasy tablet. Primary outcomes were safety and effectiveness, defined as persistent or painful erythema and 28-day mortality. Clearance rates with the different modalities were hardly comparable between different studies, ranging approximately between 70 % and 100 %. Last Review04/17/2023. REIMBURSEMENT INFORMATION: Refer to section entitled POSITION STATEMENT. 1992;45(6):2681-2686. Per Title 42 of the United States Code (USC) Section 1320c-5(a)(3), Novel therapies for psoriasis. Chan ES-Y, Thornhill M, Zakrzewska J. Actinotherapy (UV light). The most recent recurrence of mycosis fungoides was treated with NB-UVB therapy. (9690096999) special dermatological procedures (9700197799) physical medicine and rehabilitation (9780297804) medical nutrition therapy 2003;19(4):164-168. Archier E, Devaux S, Castela E, et al. Davis MD, McEvoy MT, el-Azhary RA. Management and treatment with phototherapy and systemic agents. Semin Dermatol. Petersen E, Yazdani L, Hymes SR. A case of radiation-induced bullous morphea/lichen sclerosus overlap in a breast cancer patient. The FTC proposes to ban noncompete clauses in employment contracts. Narrowband ultraviolet B phototherapy for patients with refractory uraemic pruritus: A randomized controlled trial. Polymorphous light eruption can be classified into 4 severity groups: Khafagy and associates (2013) compared the effectiveness of PUVA versus NB-UVB in the treatment of chronic urticarial (CU). Only some studies examined how results were durable following cessation of therapy; QOL and the impact of treatment were never assessed. UVA1 phototherapy should not be used for patients with UVA-sensitive photodermatoses or photosensitive atopic dermatitis or patients taking photosensitizing drugs. 2012;66(4):598-605. [/QUOTE] Bohjanen K, Miller DD. Morrell D. Hailey-Hailey disease (benign familial pemphigus). J Am Acad Dermatol. Decreased mortality was observed in treated patients; however, this was statistically non-significant. 6 0 obj Hofer A, Cerroni L, Kerl H, Wolf P. Narrowband (311-nm) UVB therapy for small plaque parapsoriasis and early-stage mycosis fungoides. WebCPT Codes: External ECG (Holter) Monitors for up to 48 hours by continuous rhythm recording and storage: 93224-93227: policy or Article ID; or a CPT/HCPCS procedure/billing code or an ICD-10-CM diagnosis code. 2014;27(4):233-235. A total of 441 studies were screened, and 37 original manuscripts meeting the inclusion and exclusion criteria were identified, including 12 case-series studies, 18 reviews, 4 prospective studies, 2 comparative studies and 1 RCT. J Dermatolog Treat. Tan and Foley (2004) reported on the case of a 23-year-old man who presented with the onset of a widespread pruritic eruption 4 days after ingestion of an Ecstasy tablet for the 1st time. [Zy u f$]H, Tan AWH, Giam YC. To plug inpatient facility revenue drains, 2012;26(4):465-469. Hanifin JM, Cooper KD, Ho VC, et al. 2006;31(2):235-238. UpToDate [online serial]. The authors concluded that these findings indicated that home phototherapy may be a therapeutic option for treatment of selected patients with early MF. Waltham, MA: UpToDate; reviewed December 2022. She states it is not actinotherapy, I have 96900 is only for light box. A total of 20 patients affected by CM and ISM were studied; in particular, 10 patients received NB-UVB therapy, and other 10 patients received PUVA. Lymphomatoid papulosis. The authors concluded that given its low-cost, scalability, and adjunctive nature, NB-UVB has the potential to improve COVID-19 outcomes. Oral erythromycin with or without topical corticosteroids and low-dose methotrexate as 2nd-line therapies. There are also contraindications for patients with significant hepatic impairment and for those taking warfarin or phenytoin. -btac!CZs}h(u\m0g%lv9+ vD)"g5fB "ugBzJ hfg[K(RHkV};EO5CYN[?>k\m)?s;LDZV:J2{9A?EQ|%Vt=oQI7qB?ZI/n(r+X`:F@+Y?0Sb;e %:FNc9RG2>!. WebSUNY Downstate Health Sciences University, School of Health Professions Medical Billing and Coding program is a certificate program designed to assist individuals entering the Ellis E, Scheinfeld N. Eosinophilic pustular folliculitis: A comprehensive review of treatment options. 1997;195(4):359-361. In one randomized trial, treatment was successful in 92% of patients treated with PUVA, compared with 62% of patients treated with broadband UVB. Calzavara-Pinton P, Venturini M, Sala R. Medium-dose UVA1 therapy of lymphomatoid papulosis. R1. 1995;133(6):914-918. If they won't a Is CPT 96900 correct for billing Excimer Laser for Vitiligo? Milstein et al (1982) described the findings of 31 patients with early mycosis fungoides (MF) and 3 patients with parapsoriasis en plaques who were treated with ultraviolet (UV) phototherapy (280 to 350 nm) at home using a commercially available light source containing 4 Westinghouse FS40 lamps. % Br J Dermatol. %PDF-1.4 Whole-body UVB irradiation during allogeneic hematopoietic cell transplantation is safe and decreases acute graft-versus-host disease. 2002;3(3):159-173. Oral psoralen photochemotherapy (PUVA) for pruritus associated with polycythemia vera and myelofibrosis [letter]. Dogra S, Mahajan R; Indian Association of Dermatologists, Venereologists and Leprologists. yV*@)o+ aINx@YGz6@Su68 yJHk9H@{m}bU ]^%lN&g++^uHrw{w%st Moreover, the authors concluded that controlled studies are needed to examine the full potential of conventional phototherapy in the management of MF. This indicated that cure may have been achieved in a minority of patients. The 28-day mortality was 13.3 % in treatment versus 33.3 % in placebo arms (p = 0.39). UpToDate [online serial]. 2011;118(2):324-331. endstream Aetna does not provide health care services and, therefore, cannot guarantee any results or outcomes. J Am Acad Dermatol. Am Fam Physician. Applicable service codes: 96900, 96912, 96913, 96920, 96921, 96922 There is no specific CPT code for laser therapy for vitiligo. J Am Acad Dermatol. UpToDate [online serial]. The efficacy and long-term safety of UVA1 therapy has not been evaluated and therefore should be used with caution in patients younger than 18 years. Newland K, Marshman G. Success treatment of post-irradiation morphoea with acitretin and narrowband UVB. UpToDate [online serial]. Ghadially R, Szabo AZ, Garg A. Granuloma Annulare: Treatment & Medication. Overview of cutaneous lupus erythematosus. Consecutive patients admitted with a positive COVID-19 PCR were screened for eligibility. They usually do not have too many restrictions on this code, since it only pays about $20. Practice Management Center. Tan B, Foley P. Guttate psoriasis following Ecstasy ingestion. xZKs7JXb*;e #i,#sH)?6`%jWT"ht@c}TEPgPgy. 8}VQ"Kc|_YHuRj&GEF}F.*JM Krutmann J, Morita A. UVA1 phototherapy. TYPE AND SCREEN ORDERING INFORMATION: CPT code(s): 86900, 86850, 86901 Note: The billing party has sole responsibility for CPT coding. Any questions regarding coding should be directed to the payer being billed. The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only. We typically use clobetasol propionate 0.05 % ointment 2 or 3 times per day for 4 to 8 weeks. However, narrow-band UVB is not mentioned as a therapeutic option. After maintenance phototherapy was discontinued, 7 patients (23% ) had a sustained disease-free interval lasting more than 58 months (median of greater than 90 months). Kobrin SM. A statistically significant mean reduction of pruritus in both groups (p < 0.01) was observed. Thanks, Read a CPT Assistant article by subscribing to. Available at: https://www.aad.org/practicecenter/quality/clinical-guidelines/psoriasis/phototherapy-and-photochemotherapy/uvb-combination-therapies. Guidelines of care for the treatment of psoriasis with phototherapy and photochemotherapy. After a complete response is achieved, the frequency of therapy is tapered very slowly during the maintenance period and then discontinued. UVB with the addition of topical coal tar (also known as the Goeckerman regimen) for persons with severe psoriasis (defined as psoriasis that affects more than 10 % of body surface area); AsDME for persons with severe psoriasis with a history of frequent flares who are unable to attend on-site therapy or those needing to initiate therapy immediately to suppress psoriasis flares; For persons with atopic dermatitis (eczema) who are unable to attend on-site therapy. Treatments are usually given 2 to 3 times per week over 5 to 6 weeks. Elmets CA. Gerstner GL. wGj%{aC?'R&M|*,uM} V^At9lnZWBW+%Pu Db:V~;v*(.C[6*-/E Vulvar lichen sclerosus. Klecz RJ, Schwartz RA. A complete clinical and histologic response to home phototherapy occurred in 23 patients (74 %) with a maximum duration of the response from 5 months to more than 15 years (median of 51 months). J Am Acad Dermatol. Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT code. Riemann H, High WA. I have a provider that is using a UVB narrowband light box and wants to know if we can use the excimer laser codes for this. ]E9epXU9Gh`=8t-hu"cck@3"5I]L'2aCOdUf*!z|m3?Q'i( '"k1VE.t@`+M`tBMA9c1:O00AOC_1vkm7=2KDlq?+1f9OQ"&w(+J} 9=]pCG2**w0B3X\dGCi$5f%3x1z Int J Dermatol. We generally use a super-potent topical corticosteroid (e.g., clobetasol propionate 0.05 %) ointment or cream twice daily for 2 to 4 weeks. Berg M, Ros AM, Berne B. Ultraviolet A phototherapy and trimethylpsoralen UVA photochemotherapy in polymorphous light eruption -- a controlled study. An UpToDate review on Lichenoid drug eruption (drug-induced lichen planus) (Ziemer, 2021) states that Lichenoid granulomatous dermatitis is a histopathologic reaction pattern with vacuolar alteration of the basal layer with necrotic keratinocytes and a chronic, inflammatory infiltrate consisting of lymphocytes, eosinophils, plasma cells, and macrophages forming variable types of granulomas. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. %PDF-1.4 Grundmann-Kollmann M, Behrens S, Podda M, et al. Waltham, MA: UpToDate; reviewed December 2020; December 2021. Copyright 2023. Gathers RC, Scherschun L, Malick F. Narrowband UVB phototherapy for early-stage mycosis fungoides. J Am Acad Dermatol. WM Sams Jr, PJ Lynch, eds. Furthermore, an UpToDate review on Vulvar lichen sclerosus (Cooper and Arnold, 2021) does not mention narrow-band ultraviolet B (NB-UVB) as a management / therapeutic option. <> Serum tryptase levels showed a downward trend. (Note: This amount is what Medicare allows; other commercial carriers may pay a little 2019;33(11):2039-2049. Ziemer M. Lichenoid drug eruption (drug-induced lichen planus). Beani JC, Jeanmougin M. Narrow-band UVB therapy in psoriasis vulgaris: Good practice guideline and recommendations of the French Society of Photodermatology. UpToDate [online serial]. An evidence-based analysis. Lymphomatoid papulosis misdiagnosed as pityriasis lichenoides et varioliformis acuta: Two case reports and a literature review. Miguel D, Lukacs J, Illing T, Elsner P. Treatment of necrobiotic xanthogranuloma - a systematic review. or narrow-band UVB phototherapy for vitiligo, Psoralens and ultraviolet A light (PUVA) therapy is contraindicated in. Certain Cigna Companies and/or lines of business only provide utilization review services to clients and do not make coverage View any code changes for 2023 as well as historical information on code creation and revision. An UpToDate review on UVB therapy (broadband and narrowband) (Honigsmann, 2021) does not mention drug-related hypersensitivity reaction as an indication for UVB therapy. J Eur Acad Dermatol Venereol . A paragraph was added to the Coding Guidance section to address CPT codes 81355 (VKORC1) and 81227 (CYP2C9) not considered medically reasonable and necessary for warfarin testing with reference to NCD 90.1. George SA, Bilsland DJ, Johnson BE, Ferguson J. Narrow-band (TL-01) UVB air-conditioned phototherapy for chronic severe adult atopic dermatitis. Lesions improved with treatment in most cases, and none of the cases was associated with hematologic malignancies. Walker D, Jacobe H. Phototherapy in the age of biologics. Alopecia Mucinosa. In a click, check the DRG's IPPS allowable, length of stay, and more. Sun protection - Sun protection is first-line therapy for patients with PMLE and includes sun avoidance, sun protective clothing, and sunscreens. We favor use of UVB phototherapy based upon the more favorable safety profile compared with PUVA photochemotherapy. Petersen et al (2018) stated that radiation induced morphea (RIM) is an increasingly common complication of radiation treatment for malignancy as early detection has made more patients eligible for non-surgical therapeutic options. There was a relapse after 9 months with a good response after 6 more sessions of treatment. The U.S. Department of Health and Human Services Office of Inspector General OIG lately conducted an inv Investigation included 55 million records from 2019. Wanat K, Rosenbach M. Necrobiosis lipoidica. Correction of inverted nipples are considered cosmetic and, therefore, non-covered for any other indication. 2000;(2):CD001213. Participating providers are independent contractors in private practice and are neither employees nor agents of Aetna or its affiliates. CD30, a helper T-cell marker specifically expressed in tumor cells was analyzed by immunohistochemical (IHC) staining and the result showed that CD30-negative or only scattered CD30-positive cells were present; thus, a diagnosis of type B LyP was made. View the CPT code's corresponding procedural code and DRG. Bellinato F, Maurelli M, Gisondi P, et al. Esophageal WebCPT Code: 96900 Description: Application of ultraviolet light to skin If you're interested to see what doctor's in your area are charging for this particular CPT code enter your Arch Dermatol. Most were male (64 %); mean age of onset was 12 years. Clin Exp Dermatol. %PDF-1.4 Weibel L. Localized scleroderma (morphea) in childhood. Home ultraviolet phototherapy. Clark C, Dawe RS, Evans AT, et al. An NCD defines coverage for a particular item (e.g., a brace or hearing aid) or service (e.g., therapy or screenings) nationwide. 1977;297(3):136-138. eMedicine, August 26, 2009. Guidelines of care for the management of atopic dermatitis. Photochemotherapy treatment of pruritus associated with polycythemia vera. Narbutt J, Torzecka JD, Sysa-Jedrzejowska A, Zalewska A. Medscape. In: Principles and Practice of Dermatology. Managed cares perspective on treatment of psoriasis. An UpToDate review on Treatment of atopic dermatitis (eczema) (Weston and Howe, 2020) does not mention home phototherapy as a management option. 95937-97016. UpToDate [online serial]. The combination topical vitamin D3-analog calcitriol and 311-nm NB-UVB phototherapy was effective and can be regarded as a useful alternative to glucocorticoids for the treatment of erythema annulare centrifugum. Comparison of oral psoralen-UV-A with a portable tanning unit at home vs hospital-administered bath psoralen-UV-A in patients with chronic hand eczema: An open-label randomized controlled trial of efficacy. Waltham, MA: UpToDate; reviewed February 2020. 1999;135:1377-1380. Moreover, these researchers stated that further longitudinal studies are needed to examine prognostic differences between CD4(+) and CD8(+) LyP and their biological significance. A total of 10 cases showed CD8 predominance by immunohistochemistry. No AEs occurred. Of 123 patients with LyP identified, 14 (11 %) were in the pediatric age group. Der-Petrossian M, Seeber A, Honigsmann H, Tanew A. Half-side comparison study on the efficacy of 8-methoxypsoralen bath-PUVA versus narrow-band ultraviolet B phototherapy in patients with severe chronic atopic dermatitis. Phototherapy - Prophylactic phototherapy with low dose PUVA (psoralens plus UVA) or UVB in early spring to induce tolerance to sun exposure may be an option for patients who are expected to develop significant symptoms during the spring or summer. 3) Contact your MAC. American Academy of Dermatology Committee on Guidelines of Care. Eosinophilic cellulitis (Wells syndrome); Keratosis follicularis (Darier disease or Darier-White disease); The use of UVAforall indications other than those listed as medically necessary above, including: Narrow-band UVB phototherapyfor allindicationsother than those listed as medically necessary above, including: Dermatographic urticaria (also known as dermographism and dermatographism); Erythematous hyper-pigmented macules/papules; Skin hypo-pigmentation from scarring; and. Hoppe RT, Kim YH, Horwitz S. Treatment of early stage (IA to IIA) mycosis fungoides. Low-dose methotrexate (2.5 to 15 mg per week) may be an alternative for children who do not respond to topical steroids or ultraviolet B (UVB). Unfortunately, the lesions relapsed, whenever phototherapy was discontinued. Raler F, Lukacs J, Elsner P. Treatment of eosinophilic cellulitis (Wells syndrome) - a systematic review. Am J Kidney Dis. Home ultraviolet phototherapy of early mycosis fungoides: Preliminary observations. Hautarzt. The eruption was not responsive to the initial treatment of topical betamethasone dipropionate 0.1 % ointment and oral prednisolone. These researchers presented follow-up data of the original 31 patients, covering an interval of up to 15 years. Waltham, MA: UpToDate; reviewed November 2013. Brazzelli et al (2016) noted that in mastocytosis, the skin is almost invariably involved, and cutaneous symptoms deeply affect patients' quality of life (QOL). Therapy of moderate and severe psoriasis [summary]. 1996;73(2):91-93. WebThe above medical necessity criteria MUST be met for the following codes to be covered for Commercial Members: Managed Care (HMO and POS), PPO, Indemnity, Medicare HMO Health Technol Assess. Weberschock T, Strametz R, Lorenz M, et al. The blood test distributor agrees to pay 195000 to settle allegations that it violated the FCA. UpToDate [online serial]. Copyright Aetna Inc. All rights reserved. In order to avoid under-diagnosis and misdiagnosis, physicians should examine suspected patients by histopathological and IHC examination. Cochrane Database Syst Rev. Furthermore, UpToDate reviews on Overview of dermatitis (eczematous dermatoses) (Howe, 2022) and Overview of cutaneous lupus erythematosus (Merola, 2022) do not mention the use of NB-UVB as a management / therapeutic option. Furthermore, an UpToDate review on Lymphomatoid papulosis (Kadin, 2022) states that For patients with extensive or symptomatic disease, scarring, or cosmetic concerns, we suggest low-dose methotrexate as the initial therapy (Grade 2C) For patients for whom methotrexate is contraindicated and for patients with LyP that does not respond to methotrexate, we suggest psoralen and ultraviolet A (PUVA) therapy (Grade 2C). Brazzelli et al (2012) stated that mastocytoses represent a heterogeneous group of stem cell disorders marked by an abnormal hyperplasia and accumulation of mast cells in one or more tissues, including bone marrow, gastro-intestinal (GI) tract, liver, spleen, lymph nodes and skin. A systematic review of treatments for severe psoriasis. 1998;73(5):407-411. J Am Acad Dermatol. 2009;9(27):1-66. However, long-term use is associated with an increased risk of skin cancer, and the skin lesions usually recur after therapy is stopped. 2009;15(17):1974-1997. de Souza et al (2009) stated that LyP is a cyclic papulonodular eruption that is clinically benign and histologically malignant. Dermatol Ther. Ann Hematol. Indolent systemic mastocytosis (ISM) is characterized by red-brownish and pruriginous maculopapular lesions, a bone marrow infiltration without functional impairment and an indolent clinical course with a good prognosis. The rash was characterized by small papules up to 10-mm in diameter distributed in a guttate pattern over most of his body and displaying the Kobner phenomena. The provider uses ultraviolet rays to treat skin diseases. For FREE Trial. PUVA therapy is superior to broadband UVB. Tan and Giam (2004) noted that lymphomatoid papulosis (LyP) is a chronic benign disease that may be associated with malignant lymphomas. The papules of LyP continued to appear but she remained free of lesions of mycosis fungoides 10 months following cessation of NB-UVB therapy. endobj The Centers for Medicare 038 Medicaid Services CMS issued April 10 the Inpatient Prospective Payment SystemLongTerm Care Hospital IPPSLTCH proposed rule for fiscal year FY 2024. J Am Acad Dermatol. Therapie. The following links are intended to facilitate documentation and coding diagnoses and services that are provided to patients with Humana coverage: *. 04/17/2023 Honig B, Morison WL, Karp D. Photochemotherapy beyond psoriasis. 2002;47(2 Pt.1):191-197. Naldi L, Rzany B. Psoriasis (chronic plaque) (updated). Coding/Billing Information..18 References ..19 Related Coverage Resources . Clin Exp Dermatol. Cather J, Menter A. i?A"}yOQn$uR)NaPjd sf5JO4i?J.c'M%4mi/!GBidMhRC lU6)olU,U2l-i/F3 h@{E8rTgK17G@%5:lu;V\ Cyr PR. Xc!?CLad k~ This Clinical Policy Bulletin contains only a partial, general description of plan or program benefits and does not constitute a contract. WebView the CPT code's corresponding procedural code and DRG. As an example of a slow taper, after a complete response or plateau in response, treatments may be decreased from 3 times a week to twice-weekly for 1 to 2 months, then decreased to once-weekly for 1 to 2 months, followed by discontinuation of therapy. In a click, check the DRG's IPPS allowable, length of stay, and more. Waltham, MA: UpToDate; reviewed December 2022. Delrosso G, Bornacina C, Farinelli P, et al. Treatment options for localized scleroderma. %PDF-1.4 WebPhototherapy: 96900 or 96910 The Answer Could Mean $70 for Each Vitiligo Treatment - (Apr 12, 2011) Avoid misrepresenting phototherapy services by following this expert systemic corticosteroids and methotrexate) have failed], Other specified and unspecified acute skin changes due to ultraviolet radiation, Other skin changes due to chronic exposure to nonionizing radiation [actinic dermatitis], Keratosis follicularis et parafollicularis in cutem penetrans [Kyrle disease], Drug rash with eosinophilia and systemic symptoms syndrome [hypersensitive rash], Allergic and Irritant contact dermatitis [superficial mixed-cell dermatitis], Generalized skin eruption due to drugs and medicaments taken internally [erythematous hyper-pigmented macules/papules], Lichen simplex chronicus [lichenoid dermatitis], Lichenoid drug reaction [lichenoid dermatitis], Other melanin hyperpigmentation [erythematous hyper-pigmented macules/papules], Pigmented purpuric dermatosis [erythematous hyper-pigmented macules/papules], Other specified disorders of pigmentation [melasma][ progressive macular hypomelanosis] [erythematous hyper-pigmented macules/papules], Disorder of pigmentation, unspecified [skin hypo-pigmentation from scarring], Liver and biliary tract disorders in pregnancy [cholestasis of pregnancy], Other specified congenital malformations of skin, Rash and other nonspecific skin eruption [hypersensitive rash], Unspecified adverse effect of drug or medicament [drug-related hypersensitivity reaction], Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B, Psoriasis [severe, that affects more than 10% of body surface area].
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