Actinic keratosis
ICD-10 Code: L57.0 · Body Part: Head/Brain (TBI)
QME Evaluation Process
Dermatologic examination, document sun exposure history from outdoor work. Chapter 8 skin impairment. Common in outdoor workers (construction, agriculture, utilities).
Typical Impairment Rating
0-5% WPI
AMA Guides Edition
5th Edition
Common Treatments
Related Conditions
Body Part Guide
Head/Brain (TBI) Evaluation Guide
Impairment rating methods, common conditions, and QME evaluation protocols
QME Specialties for Actinic keratosis
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What is Actinic keratosis (L57.0)?
Actinic keratosis is an ICD-10 diagnosis code (L57.0) classified under Skin conditions. It affects the Head/Brain (TBI) and is commonly encountered in California workers' compensation claims. QME physicians evaluate this condition using AMA Guides 5th Edition protocols.
How is L57.0 rated for impairment?
The typical whole person impairment (WPI) range for Actinic keratosis is 0-5% WPI. The exact rating depends on clinical findings, imaging, and the evaluation method (DRE or ROM) chosen by the QME physician per AMA Guides 5th Edition.
What is the QME evaluation process for L57.0?
Dermatologic examination, document sun exposure history from outdoor work. Chapter 8 skin impairment. Common in outdoor workers (construction, agriculture, utilities).
What treatments are common for Actinic keratosis?
Common treatments for Actinic keratosis include Cryotherapy, Topical 5-fluorouracil, Photodynamic therapy, Sun protection. Treatment appropriateness and outcomes are considered during the QME evaluation when determining permanent and stationary status and apportionment.