Lobomycosis

This code represents lobomycosis, a chronic, deep fungal infection of the skin and subcutaneous tissues. It is caused by the fungus Lacazia loboi (formerly Loboa loboi) and is characterized by the development of keloid-like, nodular, or verrucous lesions, primarily on exposed areas of the body. The infection is typically localized and does not usually disseminate internally.

Use this code when documentation clearly indicates a diagnosis of lobomycosis. This diagnosis is often made based on clinical presentation in endemic areas (primarily Central and South America) and confirmed by histopathological examination showing characteristic yeast-like cells. Documentation should specify the fungal etiology.

• Ensure the physician's documentation explicitly states "lobomycosis" or provides a clear clinical description consistent with this diagnosis.
• Do not confuse with other deep fungal infections like chromoblastomycosis or sporotrichosis; these have distinct ICD-9-CM codes.
• Consider an additional code for any associated complications or secondary bacterial infections, if documented.