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7825 – Chronic Urticaria

Note (a): Systemic therapy is treatment administered through any route other than the skin; topical therapy is treatment administered through the skin.

Note (b): Two or more skin conditions may be combined under § 4.25 only if separate skin areas are involved. If the same area is involved, only the highest evaluation applies.

Description Rating
7825 Chronic urticaria:
For the purposes of this diagnostic code, chronic urticaria is defined as continuous urticaria at least twice per week, off treatment, for a period of six weeks or more
Chronic refractory urticaria that requires third line treatment for control (e.g., plasmapheresis, immunotherapy, immunosuppressives) due to ineffectiveness with first and second line treatments 60
Chronic urticaria requiring second line treatment (corticosteroids, sympathomimetics, leukotriene inhibitors, neutrophil inhibitors, thyroid hormone) 30
Chronic urticaria that requires first line treatment (antihistamines) for control 10