Lymphocutaneous sporotrichosis

This code signifies a chronic fungal infection caused by Sporothrix schenckii that primarily affects the skin and subcutaneous tissues, characterized by a primary lesion followed by the development of secondary nodules along lymphatic channels. It represents a specific clinical presentation of sporotrichosis where the infection spreads via the lymphatic system.

Use this code when documentation clearly indicates sporotrichosis with lymphatic involvement, typically presenting as a chain of nodules extending proximally from an initial lesion. Supporting documentation would include physician notes detailing the characteristic lymphocutaneous lesions, often following a history of exposure to contaminated plant matter.

• Differentiate from fixed cutaneous sporotrichosis (L99.8) or disseminated sporotrichosis, which involve different clinical presentations.
• Ensure the documentation specifies "lymphocutaneous" to accurately assign this code, as other forms of sporotrichosis exist.
• Consider sequencing this code as the primary diagnosis when it is the reason for the encounter, especially for treatment or management of the infection.