ICD10 code of Dermatillomania and ICD9 code

Dermatillomania, clinically classified as Excoriation Disorder, is assigned the ICD-10 code L98.1. While there is no specific, unique ICD-9 code for Dermatillomania, it was historically categorized under 698.4 (Dermatitis artefacta) or 300.9 (Unspecified nonpsychotic mental disorder) depending on the clinical context.

How is Dermatillomania classified medically?

Dermatillomania, also known as Excoriation Disorder or Compulsive Skin Picking (CSP), is recognized in the DSM-5 as an Obsessive-Compulsive and Related Disorder. Unlike a simple dermatological issue, the integumentary system damage caused by Dermatillomania is a secondary result of repetitive, ritualized behaviors driven by psychological distress, anxiety, or emotional regulation needs.

What are the primary clinical impacts of Dermatillomania?

The physical and emotional burden of Dermatillomania is significant, often leading to a cycle of shame and further picking. Patients frequently report the following complications:

• Physical trauma: Chronic bleeding, open sores, secondary infections, and permanent scarring.


• Psychological distress: Intense feelings of guilt, depression, and social withdrawal.


• Functional impairment: Avoidance of social situations due to visible lesions or the time spent engaging in the behavior.


• Suicidal ideation: A serious risk factor that necessitates urgent mental health intervention.

How is Dermatillomania managed by professionals?

Because Dermatillomania involves both the skin and the brain, a multidisciplinary approach is essential. Current evidence-based treatments include Cognitive Behavioral Therapy (CBT), specifically Habit Reversal Training (HRT), which helps patients identify triggers. Pharmacological interventions such as N-Acetylcysteine (NAC) and SSRIs are frequently utilized to manage the underlying neurobiological components of the disorder.

Is there a community for those with Dermatillomania?

You are not alone in your journey with Dermatillomania. Currently, 260 individuals managing Dermatillomania have joined the DiseaseMaps.org community to share experiences, coping strategies, and peer support, which can be vital for reducing the isolation often associated with this condition.

Next steps

• Consult a psychiatrist or psychologist specializing in Obsessive-Compulsive and Related Disorders.


• Speak with a dermatologist to treat secondary infections or scarring caused by Dermatillomania.


• Connect with the 260 members of the DiseaseMaps.org community for shared support.


• Track your triggers using a journal to better inform your therapist during your next session.

Medical disclaimer: This information is for educational purposes only and does not constitute professional medical advice, diagnosis, or treatment; always seek the advice of your physician or qualified health provider with any questions regarding a medical condition.

References

• American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.).


• NIH Genetic and Rare Diseases Information Center (GARD): Excoriation Disorder.


• International Classification of Diseases, 10th Revision (ICD-10): L98.1 Factitious dermatitis.


• The TLC Foundation for Body-Focused Repetitive Behaviors (BFRB.org).