Chronic Pruritus Ani J014
Current RMA Instruments:
| Reasonable Hypothesis SOP | 31 of 2019 |
| Balance of Probabilities SOP | 32 of 2019 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 698.0
- ICD-10-AM Codes: L29.0
Brief description
Chronic pruritis ani is a condition in which there is intense persistent itching of the anus or perianal skin, mostly secondary to inflammatory, infectious, systemic, neoplastic, or anorectal disorders. The condition is more common in the fourth to sixth decades of life. Prevalence is higher in males.
Confirming the diagnosis
The diagnosis is made on clinical grounds and can be made by a treating GP.
The relevant medical specialist is a dermatologist.
Additional diagnoses covered by SOP
Nil
Conditions not covered by SOP
Acute pruritus ani (< 6 weeks duration) - not a disease
Clinical onset
Clinical onset will be based on the time of onset of reported symptoms.
Clinical worsening
The condition is usually responsive to appropriate clinical management and treatment of an underlying condition, if present.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/sops-grouped-icd-body-system/c-d/chronic-pruritus-ani-j014-l290
Rulebase for pruritus ani
<h5><strong>Current RMA Instruments:</strong></h5><table border="1" cellspacing="1" cellpadding="1"><tbody><tr><td><address><a href="http://www.rma.gov.au/assets/SOP/2019/031.pdf" target="_blank">Reasonable Hypothesis SOP</a></address></td><td>31 of 2019</td></tr><tr><td><address><a href="http://www.rma.gov.au/assets/SOP/2019/032.pdf" target="_blank">Balance of Probabilities SOP </a></address></td><td>32 of 2019</td></tr></tbody></table><h5>Changes from previous Instruments</h5><p><drupal-media data-entity-type="media" data-entity-uuid="6e02edd8-d559-4b2b-844e-e703926397c1" data-view-mode="wysiwyg"></drupal-media></p><h5> ICD Coding</h5><ul><li>ICD-9-CM Codes: 698.0</li><li>ICD-10-AM Codes: L29.0</li></ul><h5>Brief description</h5><p>Chronic pruritis ani is a condition in which there is intense persistent itching of the anus or perianal skin, mostly secondary to inflammatory, infectious, systemic, neoplastic, or anorectal disorders. The condition is more common in the fourth to sixth decades of life. Prevalence is higher in males.</p><h5>Confirming the diagnosis</h5><p>The diagnosis is made on clinical grounds and can be made by a treating GP.</p><p>The relevant medical specialist is a dermatologist.</p><h5>Additional diagnoses covered by SOP</h5><ul><li><p>Nil</p></li></ul><h5><strong>Conditions not covered by SOP </strong></h5><ul><li><p>Acute pruritus ani (< 6 weeks duration) - not a disease</p></li></ul><h5>Clinical onset</h5><p>Clinical onset will be based on the time of onset of reported symptoms.</p><h5>Clinical worsening</h5><p>The condition is usually responsive to appropriate clinical management and treatment of an underlying condition, if present.</p><p> </p><p> </p><p> </p>
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/chronic-pruritus-ani-j014-l290/rulebase-pruritus-ani
A specified colorectal or anal condition
Current RMA Instruments:
| Reasonable Hypothesis SOP | 31 of 2019 |
| Balance of Probabilities SOP | 32 of 2019 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 698.0
- ICD-10-AM Codes: L29.0
Brief description
Chronic pruritis ani is a condition in which there is intense persistent itching of the anus or perianal skin, mostly secondary to inflammatory, infectious, systemic, neoplastic, or anorectal disorders. The condition is more common in the fourth to sixth decades of life. Prevalence is higher in males.
Confirming the diagnosis
The diagnosis is made on clinical grounds and can be made by a treating GP.
The relevant medical specialist is a dermatologist.
Additional diagnoses covered by SOP
Nil
Conditions not covered by SOP
Acute pruritus ani (< 6 weeks duration) - not a disease
Clinical onset
Clinical onset will be based on the time of onset of reported symptoms.
Clinical worsening
The condition is usually responsive to appropriate clinical management and treatment of an underlying condition, if present.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/chronic-pruritus-ani-j014-l290/rulebase-pruritus-ani/specified-colorectal-or-anal-condition
A specified dermatological disease
Current RMA Instruments:
| Reasonable Hypothesis SOP | 31 of 2019 |
| Balance of Probabilities SOP | 32 of 2019 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 698.0
- ICD-10-AM Codes: L29.0
Brief description
Chronic pruritis ani is a condition in which there is intense persistent itching of the anus or perianal skin, mostly secondary to inflammatory, infectious, systemic, neoplastic, or anorectal disorders. The condition is more common in the fourth to sixth decades of life. Prevalence is higher in males.
Confirming the diagnosis
The diagnosis is made on clinical grounds and can be made by a treating GP.
The relevant medical specialist is a dermatologist.
Additional diagnoses covered by SOP
Nil
Conditions not covered by SOP
Acute pruritus ani (< 6 weeks duration) - not a disease
Clinical onset
Clinical onset will be based on the time of onset of reported symptoms.
Clinical worsening
The condition is usually responsive to appropriate clinical management and treatment of an underlying condition, if present.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/chronic-pruritus-ani-j014-l290/rulebase-pruritus-ani/specified-dermatological-disease
A specified local perianal or anal infection or infestation
Current RMA Instruments:
| Reasonable Hypothesis SOP | 31 of 2019 |
| Balance of Probabilities SOP | 32 of 2019 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 698.0
- ICD-10-AM Codes: L29.0
Brief description
Chronic pruritis ani is a condition in which there is intense persistent itching of the anus or perianal skin, mostly secondary to inflammatory, infectious, systemic, neoplastic, or anorectal disorders. The condition is more common in the fourth to sixth decades of life. Prevalence is higher in males.
Confirming the diagnosis
The diagnosis is made on clinical grounds and can be made by a treating GP.
The relevant medical specialist is a dermatologist.
Additional diagnoses covered by SOP
Nil
Conditions not covered by SOP
Acute pruritus ani (< 6 weeks duration) - not a disease
Clinical onset
Clinical onset will be based on the time of onset of reported symptoms.
Clinical worsening
The condition is usually responsive to appropriate clinical management and treatment of an underlying condition, if present.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/chronic-pruritus-ani-j014-l290/rulebase-pruritus-ani/specified-local-perianal-or-anal-infection-or-infestation
Application of high potency topical corticosteroid-containing preparations
Current RMA Instruments:
| Reasonable Hypothesis SOP | 31 of 2019 |
| Balance of Probabilities SOP | 32 of 2019 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 698.0
- ICD-10-AM Codes: L29.0
Brief description
Chronic pruritis ani is a condition in which there is intense persistent itching of the anus or perianal skin, mostly secondary to inflammatory, infectious, systemic, neoplastic, or anorectal disorders. The condition is more common in the fourth to sixth decades of life. Prevalence is higher in males.
Confirming the diagnosis
The diagnosis is made on clinical grounds and can be made by a treating GP.
The relevant medical specialist is a dermatologist.
Additional diagnoses covered by SOP
Nil
Conditions not covered by SOP
Acute pruritus ani (< 6 weeks duration) - not a disease
Clinical onset
Clinical onset will be based on the time of onset of reported symptoms.
Clinical worsening
The condition is usually responsive to appropriate clinical management and treatment of an underlying condition, if present.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/chronic-pruritus-ani-j014-l290/rulebase-pruritus-ani/application-high-potency-topical-corticosteroid-containing-preparations
Episodes of diarrhoea
Current RMA Instruments:
| Reasonable Hypothesis SOP | 31 of 2019 |
| Balance of Probabilities SOP | 32 of 2019 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 698.0
- ICD-10-AM Codes: L29.0
Brief description
Chronic pruritis ani is a condition in which there is intense persistent itching of the anus or perianal skin, mostly secondary to inflammatory, infectious, systemic, neoplastic, or anorectal disorders. The condition is more common in the fourth to sixth decades of life. Prevalence is higher in males.
Confirming the diagnosis
The diagnosis is made on clinical grounds and can be made by a treating GP.
The relevant medical specialist is a dermatologist.
Additional diagnoses covered by SOP
Nil
Conditions not covered by SOP
Acute pruritus ani (< 6 weeks duration) - not a disease
Clinical onset
Clinical onset will be based on the time of onset of reported symptoms.
Clinical worsening
The condition is usually responsive to appropriate clinical management and treatment of an underlying condition, if present.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/chronic-pruritus-ani-j014-l290/rulebase-pruritus-ani/episodes-diarrhoea
Inability to maintain adequate anal hygiene
Current RMA Instruments:
| Reasonable Hypothesis SOP | 31 of 2019 |
| Balance of Probabilities SOP | 32 of 2019 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 698.0
- ICD-10-AM Codes: L29.0
Brief description
Chronic pruritis ani is a condition in which there is intense persistent itching of the anus or perianal skin, mostly secondary to inflammatory, infectious, systemic, neoplastic, or anorectal disorders. The condition is more common in the fourth to sixth decades of life. Prevalence is higher in males.
Confirming the diagnosis
The diagnosis is made on clinical grounds and can be made by a treating GP.
The relevant medical specialist is a dermatologist.
Additional diagnoses covered by SOP
Nil
Conditions not covered by SOP
Acute pruritus ani (< 6 weeks duration) - not a disease
Clinical onset
Clinical onset will be based on the time of onset of reported symptoms.
Clinical worsening
The condition is usually responsive to appropriate clinical management and treatment of an underlying condition, if present.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/chronic-pruritus-ani-j014-l290/rulebase-pruritus-ani/inability-maintain-adequate-anal-hygiene
Inability to obtain appropriate clinical management for pruritus ani
Current RMA Instruments:
| Reasonable Hypothesis SOP | 31 of 2019 |
| Balance of Probabilities SOP | 32 of 2019 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 698.0
- ICD-10-AM Codes: L29.0
Brief description
Chronic pruritis ani is a condition in which there is intense persistent itching of the anus or perianal skin, mostly secondary to inflammatory, infectious, systemic, neoplastic, or anorectal disorders. The condition is more common in the fourth to sixth decades of life. Prevalence is higher in males.
Confirming the diagnosis
The diagnosis is made on clinical grounds and can be made by a treating GP.
The relevant medical specialist is a dermatologist.
Additional diagnoses covered by SOP
Nil
Conditions not covered by SOP
Acute pruritus ani (< 6 weeks duration) - not a disease
Clinical onset
Clinical onset will be based on the time of onset of reported symptoms.
Clinical worsening
The condition is usually responsive to appropriate clinical management and treatment of an underlying condition, if present.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/chronic-pruritus-ani-j014-l290/rulebase-pruritus-ani/inability-obtain-appropriate-clinical-management-pruritus-ani
Pathological vaginal discharge
Current RMA Instruments:
| Reasonable Hypothesis SOP | 31 of 2019 |
| Balance of Probabilities SOP | 32 of 2019 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 698.0
- ICD-10-AM Codes: L29.0
Brief description
Chronic pruritis ani is a condition in which there is intense persistent itching of the anus or perianal skin, mostly secondary to inflammatory, infectious, systemic, neoplastic, or anorectal disorders. The condition is more common in the fourth to sixth decades of life. Prevalence is higher in males.
Confirming the diagnosis
The diagnosis is made on clinical grounds and can be made by a treating GP.
The relevant medical specialist is a dermatologist.
Additional diagnoses covered by SOP
Nil
Conditions not covered by SOP
Acute pruritus ani (< 6 weeks duration) - not a disease
Clinical onset
Clinical onset will be based on the time of onset of reported symptoms.
Clinical worsening
The condition is usually responsive to appropriate clinical management and treatment of an underlying condition, if present.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/chronic-pruritus-ani-j014-l290/rulebase-pruritus-ani/pathological-vaginal-discharge
Systemic treatment with mineral oil
Current RMA Instruments:
| Reasonable Hypothesis SOP | 31 of 2019 |
| Balance of Probabilities SOP | 32 of 2019 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 698.0
- ICD-10-AM Codes: L29.0
Brief description
Chronic pruritis ani is a condition in which there is intense persistent itching of the anus or perianal skin, mostly secondary to inflammatory, infectious, systemic, neoplastic, or anorectal disorders. The condition is more common in the fourth to sixth decades of life. Prevalence is higher in males.
Confirming the diagnosis
The diagnosis is made on clinical grounds and can be made by a treating GP.
The relevant medical specialist is a dermatologist.
Additional diagnoses covered by SOP
Nil
Conditions not covered by SOP
Acute pruritus ani (< 6 weeks duration) - not a disease
Clinical onset
Clinical onset will be based on the time of onset of reported symptoms.
Clinical worsening
The condition is usually responsive to appropriate clinical management and treatment of an underlying condition, if present.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/chronic-pruritus-ani-j014-l290/rulebase-pruritus-ani/systemic-treatment-mineral-oil
Systemic treatment with niclosamide or clioquinol
Current RMA Instruments:
| Reasonable Hypothesis SOP | 31 of 2019 |
| Balance of Probabilities SOP | 32 of 2019 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 698.0
- ICD-10-AM Codes: L29.0
Brief description
Chronic pruritis ani is a condition in which there is intense persistent itching of the anus or perianal skin, mostly secondary to inflammatory, infectious, systemic, neoplastic, or anorectal disorders. The condition is more common in the fourth to sixth decades of life. Prevalence is higher in males.
Confirming the diagnosis
The diagnosis is made on clinical grounds and can be made by a treating GP.
The relevant medical specialist is a dermatologist.
Additional diagnoses covered by SOP
Nil
Conditions not covered by SOP
Acute pruritus ani (< 6 weeks duration) - not a disease
Clinical onset
Clinical onset will be based on the time of onset of reported symptoms.
Clinical worsening
The condition is usually responsive to appropriate clinical management and treatment of an underlying condition, if present.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/chronic-pruritus-ani-j014-l290/rulebase-pruritus-ani/systemic-treatment-niclosamide-or-clioquinol
Systemic treatment with water-soluble corticosteroid phosphates
Current RMA Instruments:
| Reasonable Hypothesis SOP | 31 of 2019 |
| Balance of Probabilities SOP | 32 of 2019 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 698.0
- ICD-10-AM Codes: L29.0
Brief description
Chronic pruritis ani is a condition in which there is intense persistent itching of the anus or perianal skin, mostly secondary to inflammatory, infectious, systemic, neoplastic, or anorectal disorders. The condition is more common in the fourth to sixth decades of life. Prevalence is higher in males.
Confirming the diagnosis
The diagnosis is made on clinical grounds and can be made by a treating GP.
The relevant medical specialist is a dermatologist.
Additional diagnoses covered by SOP
Nil
Conditions not covered by SOP
Acute pruritus ani (< 6 weeks duration) - not a disease
Clinical onset
Clinical onset will be based on the time of onset of reported symptoms.
Clinical worsening
The condition is usually responsive to appropriate clinical management and treatment of an underlying condition, if present.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/chronic-pruritus-ani-j014-l290/rulebase-pruritus-ani/systemic-treatment-water-soluble-corticosteroid-phosphates
Therapeutic radiation to the perianal area
Current RMA Instruments:
| Reasonable Hypothesis SOP | 31 of 2019 |
| Balance of Probabilities SOP | 32 of 2019 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 698.0
- ICD-10-AM Codes: L29.0
Brief description
Chronic pruritis ani is a condition in which there is intense persistent itching of the anus or perianal skin, mostly secondary to inflammatory, infectious, systemic, neoplastic, or anorectal disorders. The condition is more common in the fourth to sixth decades of life. Prevalence is higher in males.
Confirming the diagnosis
The diagnosis is made on clinical grounds and can be made by a treating GP.
The relevant medical specialist is a dermatologist.
Additional diagnoses covered by SOP
Nil
Conditions not covered by SOP
Acute pruritus ani (< 6 weeks duration) - not a disease
Clinical onset
Clinical onset will be based on the time of onset of reported symptoms.
Clinical worsening
The condition is usually responsive to appropriate clinical management and treatment of an underlying condition, if present.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/chronic-pruritus-ani-j014-l290/rulebase-pruritus-ani/therapeutic-radiation-perianal-area