Moisture-Associated Skin Damage: Expanding Practice Based on the Newest ICD-10-CM Codes for Irritant Contact Dermatitis Associated with Digestive Secretions and Fecal or Urinary Effluent from an Abdominal Stoma or Enterocutaneous Fistula

Laurie McNichol, Donna Z. Bliss, Mikel Gray

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Moisture-associated skin damage (MASD) occurs when skin is repeatedly exposed to various sources of bodily secretions or effluents, often leading to irritant contact dermatitis, characterized by inflammation with or without denudation of affected skin. In 2020, the Wound, Ostomy and Continence Nurses Society commissioned an initiative that led to the addition of multiple International Classification of Diseases, Tenth Revision, Clinical Modification codes (ICD-10-CM) for irritant contact dermatitis caused by various forms of MASD for use in the United States. In a recent issue of the Journal of Wound, Ostomy and Continence Nursing, a clinical practice alert identifying the various new codes was published that summarized each of the new codes and provided highlights of the descriptions for each of these codes. This is the second in a series of 2 follow-up articles providing a more detailed description of the MASD conditions to which the newest irritant contact dermatitis ICD-10-CM codes apply. Specifically, this article reviews the clinical manifestations and assessment, pathophysiology, epidemiology, prevention, and management of irritant contact dermatitis associated with digestive secretions from a stoma or fistula, and fecal or urinary effluent from an abdominal stoma or enterocutaneous fistula.

Original languageEnglish (US)
Pages (from-to)235-239
Number of pages5
JournalJournal of Wound, Ostomy and Continence Nursing
Volume49
Issue number3
DOIs
StatePublished - May 1 2022

Bibliographical note

Funding Information:
Laurie McNichol is a clinical consultant for Hollister and 3M, Inc. Mikel Gray is a clinical consultant for Coloplast, Hollister, and KCI/3M, Inc. Donna Z. Bliss is an investigator of a research grant and subcontracts funded by NIH and is a member of the Clinical Advisory Board of Principle Business Enterprises. No author received compensation for authorship of this article.

Publisher Copyright:
© 2022 Lippincott Williams and Wilkins. All rights reserved.

Keywords

  • Colostomy
  • Digestive stoma
  • Enterocutaneous
  • Fistula
  • Gastrostomy
  • Ileal conduit
  • Ileostomy
  • Irritant contact dermatitis
  • Jejunostomy
  • Moisture-associated skin damage
  • Urostomy

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