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ICD Hub / Diseases of the digestive system (K00–K95) / DA01.13 - Erythema multiforme with oral ulceration
ICD-11

ICD-11 Codes
for DA01.13 - Erythema multiforme with oral ulceration
Teodor Jurukovski November 30, -0001
Fact checked by: Teodor Jurukovski
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Understanding Erythema Multiforme With Oral Ulceration

Erythema multiforme with oral ulceration, identified by the ICD-11 code DA01.13, is an immune-mediated hypersensitivity reaction that affects both the skin and mucous membranes. It is characterised by the appearance of lesions, often described as 'target lesions' due to their distinctive pattern. While the exact cause is unknown, it is frequently triggered by infections or medications. Erythema multiforme with oral ulceration is typically a self-limiting condition, meaning it resolves on its own, and is classified separately from more severe conditions like Stevens-Johnson syndrome and toxic epidermal necrolysis.

Recognizing the Signs: Symptoms of DA01.13

Patients experiencing Erythema multiforme with oral ulceration may present with a range of symptoms. Skin manifestations commonly include a red to purple rash that can be painful and swollen, raised bumps, or blisters. A classic sign is the 'target lesion', a round mark with a dark centre and a pale ring. Oral ulcerations are a key feature of this specific ICD-11 code, which can cause significant discomfort during eating and drinking. Involvement of other mucous membranes, such as the eyes or genitals, can also occur. Systemic symptoms like headache, fatigue, fever, or joint pain may accompany the skin and mucosal lesions.

What Triggers Erythema Multiforme With Oral Ulceration?

The precise aetiology of Erythema multiforme with oral ulceration (DA01.13) is not fully understood, but several triggers are commonly identified. Infections are a primary cause, with herpes simplex virus (HSV) and Mycoplasma pneumoniae being frequently implicated. Medications are another significant factor, with various drugs, including certain antibiotics, antiseizure medications, and nonsteroidal anti-inflammatory drugs (NSAIDs), potentially provoking the reaction. Less common triggers can include autoimmune disorders or vaccinations.

Diagnosing DA01.13: Clinical Assessment

The diagnosis of Erythema multiforme with oral ulceration is primarily based on a thorough medical history and a comprehensive physical examination. Healthcare providers will assess the characteristic appearance, size, shape, colour, and distribution of the skin and mucosal lesions. The presence of typical target lesions and oral ulcerations is crucial for diagnosis. In some instances, a skin biopsy may be performed to confirm the diagnosis and rule out other conditions.

Managing Erythema Multiforme With Oral Ulceration

Management for DA01.13 focuses on alleviating symptoms and addressing any underlying cause. As the condition is often self-limiting, treatment may not always be required. Symptomatic relief can involve topical corticosteroids or oral antihistamines for itching, and topical anaesthetics for pain. Maintaining oral hygiene with antiseptic mouthwashes and consuming soft or liquid foods can ease discomfort from oral ulcerations. If an infection is identified as the trigger, antiviral or antibiotic medications may be prescribed. If a medication is suspected, it should be discontinued. For recurrent cases, continuous oral antiviral therapy might be considered. Severe presentations may necessitate hospital admission for supportive care.

Alternative Names for Erythema Multiforme With Oral Ulceration

Erythema multiforme with oral ulceration (ICD-11 code DA01.13) is also known by several other terms in clinical practice and literature. These include mucocutaneous erythema multiforme, reflecting its involvement of both skin and mucous membranes, and erythema multiforme with mucosal involvement. In more severe presentations, it may be referred to as erythema multiforme major when significant mucosal surfaces are affected.

Coding and Documentation for DA01.13

Accurate coding is essential for medical billing and record-keeping. The official ICD-11 code for Erythema multiforme with oral ulceration is DA01.13. This code is used to document the specific diagnosis in patient records and for billing purposes. When searching for information, common queries include "ICD-11 code for Erythema multiforme with oral ulceration" or "what is the billable ICD-11 code DA01.13". Proper documentation ensures clear communication among healthcare providers and facilitates accurate reporting of this condition.

Frequently asked questions

What is the ICD-11 classification for Erythema multiforme with oral ulceration?
In ICD-11, Erythema multiforme with oral ulceration is classified under the code DA01.13, which falls within the broader category of Disorders of oral mucosa.
How does ICD-11 differentiate Erythema multiforme with oral ulceration?
The ICD-11 code DA01.13 specifically identifies Erythema multiforme when it includes oral ulceration, distinguishing it from broader classifications of Erythema multiforme.
What is the coding usage for Erythema multiforme with oral ulceration in ICD-11?
For accurate health data recording and reporting, the specific ICD-11 code DA01.13 should be used when Erythema multiforme presents with oral ulceration.
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