L80 Vitiligo

L81 Other disorders of pigmentation

Excl.:

birthmark NOS ( Q82.5)

naevus - see Alphabetical Index

Peutz-Jeghers syndrome ( Q85.8)

L81.0 Postinflammatory hyperpigmentation

L81.1 Chloasma

L81.2 Freckles

L81.3 Café au lait spots

L81.4 Other melanin hyperpigmentation

Incl.:

Lentigo

L81.5 Leukoderma, not elsewhere classified

L81.6 Other disorders of diminished melanin formation

L81.7 Pigmented purpuric dermatosis

Incl.:

Angioma serpiginosum

L81.8 Other specified disorders of pigmentation

Incl.:

Iron pigmentation

Tattoo pigmentation

L81.9 Disorder of pigmentation, unspecified

L82 Seborrhoeic keratosis

Incl.:

basal cell papilloma

dermatosis papulosa nigra

Leser-Trélat disease

L83 Acanthosis nigricans

Incl.:

Confluent and reticulated papillomatosis

L84 Corns and callosities

Incl.:

Callus

Clavus

L85 Other epidermal thickening

Excl.:

hypertrophic disorders of skin ( L91.-)

L85.0 Acquired ichthyosis

Excl.:

congenital ichthyosis ( Q80.-)

L85.1 Acquired keratosis [keratoderma] palmaris et plantaris

Excl.:

inherited keratosis palmaris et plantaris ( Q82.8)

L85.2 Keratosis punctata (palmaris et plantaris)

L85.3 Xerosis cutis

Incl.:

Dry skin dermatitis

L85.8 Other specified epidermal thickening

Incl.:

Cutaneous horn

L85.9 Epidermal thickening, unspecified

L86* Keratoderma in diseases classified elsewhere

Incl.:

Follicular keratosis Xeroderma

due to a vitamin A deficiency (E50.8†)

L87 Transepidermal elimination disorders

Excl.:

granuloma annulare (perforating) ( L92.0)

L87.0 Keratosis follicularis et parafollicularis in cutem penetrans [Kyrle]

Incl.:

Hyperkeratosis follicularis penetrans

L87.1 Reactive perforating collagenosis

L87.2 Elastosis perforans serpiginosa

L87.8 Other transepidermal elimination disorders

L87.9 Transepidermal elimination disorder, unspecified

L88 Pyoderma gangrenosum

Incl.:

Phagedenic pyoderma

Excl.:

dermatitis gangrenosa ( L08.0)

L89 Decubitus ulcer and pressure area

NCCS

DCS.XII.3

Note:

For multiple sites of differing stages assign only one code indicating the highest stage

Incl.:

Bedsore

Plaster ulcer

Excl.:

decubitus (trophic) ulcer of cervix (uteri) ( N86)

L89.0 Stage I decubitus ulcer and pressure area

Definition

The ulcer appears as a defined area of persistent redness (erythema) in lightly pigmented skin, whereas in darker skin tones, the ulcer may appear with persistent red, blue or purple hues, without skin loss

Incl.:

Decubitus [pressure] ulcer limited to erythema only

L89.1 Stage II decubitus ulcer

Incl.:

Decubitus [pressure] ulcer with:

• abrasion
• blister
• partial thickness skin loss involving epidermis and/or dermis
• skin loss NOS

L89.2 Stage III decubitus ulcer

Definition

Decubitus [pressure] ulcer with full thickness skin loss involving damage or necrosis of subcutaneous tissue extending to underlying fascia

L89.3 Stage IV decubitus ulcer

Definition

Decubitus [pressure] ulcer with necrosis of muscle, bone or supporting structures (ie tendon or joint capsule)

L89.9 Decubitus ulcer and pressure area, unspecified

Incl.:

Decubitus [pressure] ulcer without mention of stage

L90 Atrophic disorders of skin

L90.0 Lichen sclerosus et atrophicus

Excl.:

lichen sclerosus of external genital organs:

• female (N90.4)
• male (N48.0)

L90.1 Anetoderma of Schweninger-Buzzi

L90.2 Anetoderma of Jadassohn-Pellizzari

L90.3 Atrophoderma of Pasini and Pierini

L90.4 Acrodermatitis chronica atrophicans

L90.5 Scar conditions and fibrosis of skin

Incl.:

Adherent scar (skin)

Cicatrix

Disfigurement due to scar

Scar NOS

Excl.:

hypertrophic scar ( L91.0)

keloid scar ( L91.0)

L90.6 Striae atrophicae

L90.8 Other atrophic disorders of skin

L90.9 Atrophic disorder of skin, unspecified

L91 Hypertrophic disorders of skin

L91.0 Hypertrophic scar

Incl.:

Keloid scar

Keloid

Excl.:

acne keloid ( L73.0)

scar NOS ( L90.5)

L91.8 Other hypertrophic disorders of skin

L91.9 Hypertrophic disorder of skin, unspecified

L92 Granulomatous disorders of skin and subcutaneous tissue

Excl.:

actinic granuloma ( L57.5)

L92.0 Granuloma annulare

Incl.:

Perforating granuloma annulare

L92.1 Necrobiosis lipoidica, not elsewhere classified

Excl.:

that associated with diabetes mellitus ( E10-E14)

L92.2 Granuloma faciale [eosinophilic granuloma of skin]

L92.3 Foreign body granuloma of skin and subcutaneous tissue

L92.8 Other granulomatous disorders of skin and subcutaneous tissue

L92.9 Granulomatous disorder of skin and subcutaneous tissue, unspecified

L93 Lupus erythematosus

Coding-Hint

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

Excl.:

lupus:

• exedens (A18.4)
• vulgaris (A18.4)

scleroderma ( M34.-)

systemic lupus erythematosus ( M32.-)

L93.0 Discoid lupus erythematosus

Incl.:

Lupus erythematosus NOS

L93.1 Subacute cutaneous lupus erythematosus

L93.2 Other local lupus erythematosus

Incl.:

Lupus:

• erythematosus profundus
• panniculitis

L94 Other localized connective tissue disorders

Excl.:

systemic connective tissue disorders ( M30-M36)

L94.0 Localized scleroderma [morphea]

Incl.:

Circumscribed scleroderma

L94.1 Linear scleroderma

Incl.:

En coup de sabre lesion

L94.2 Calcinosis cutis

L94.3 Sclerodactyly

L94.4 Gottron papules

L94.5 Poikiloderma vasculare atrophicans

L94.6 Ainhum

L94.8 Other specified localized connective tissue disorders

L94.9 Localized connective tissue disorder, unspecified

L95 Vasculitis limited to skin, not elsewhere classified

Excl.:

angioma serpiginosum ( L81.7)

Henoch(-Schönlein) purpura ( D69.0)

hypersensitivity angiitis ( M31.0)

panniculitis (of):

• NOS (M79.3)
• lupus (L93.2)
• neck and back (M54.0)
• relapsing [Weber-Christian] (M35.6)

polyarteritis nodosa ( M30.0)

rheumatoid vasculitis ( M05.2)

serum sickness ( T80.6)

urticaria ( L50.-)

Wegener granulomatosis ( M31.3)

L95.0 Livedoid vasculitis

Incl.:

Atrophie blanche (en plaque)

L95.1 Erythema elevatum diutinum

L95.8 Other vasculitis limited to skin

L95.9 Vasculitis limited to skin, unspecified

L97 Ulcer of lower limb, not elsewhere classified

NCCS

DCS.XII.3

Excl.:

decubitus [pressure] ulcer and pressure area ( L89.-)

gangrene ( R02)

skin infections ( L00-L08)

specific infections classified to A00-B99

varicose ulcer ( I83.0, I83.2)

L98 Other disorders of skin and subcutaneous tissue, not elsewhere classified

L98.0 Pyogenic granuloma

L98.1 Factitial dermatitis

Incl.:

Neurotic excoriation

L98.2 Febrile neutrophilic dermatosis [Sweet]

L98.3 Eosinophilic cellulitis [Wells]

L98.4 Chronic ulcer of skin, not elsewhere classified

Incl.:

Chronic ulcer of skin NOS

Tropical ulcer NOS

Ulcer of skin NOS

Excl.:

decubitus [pressure] ulcer and pressure area ( L89.-)

gangrene ( R02)

skin infections ( L00-L08)

specific infections classified to A00-B99

ulcer of lower limb NEC ( L97)

varicose ulcer ( I83.0, I83.2)

L98.5 Mucinosis of skin

Incl.:

Focal mucinosis

Lichen myxoedematosus

Reticular erythematous mucinosis

Excl.:

focal oral mucinosis ( K13.7)

myxoedema ( E03.9)

L98.6 Other infiltrative disorders of skin and subcutaneous tissue

Excl.:

hyalinosis cutis et mucosae ( E78.8)

L98.7 Excessive and redundant skin and subcutaneous tissue

Incl.:

Loose or sagging skin:

• NOS
• following weight loss (bariatric surgery)(dietary)

Excl.:

excess or redundant skin of eyelid:

• acquired (H02.3)
• congenital (Q10.3)

skin changes due to chronic exposure to nonionizing radiation ( L57.-)

L98.8 Other specified disorders of skin and subcutaneous tissue

L98.9 Disorder of skin and subcutaneous tissue, unspecified

L99* Other disorders of skin and subcutaneous tissue in diseases classified elsewhere

L99.0* Amyloidosis of skin (E85.-†)

Incl.:

Lichen amyloidosis

Macular amyloid

L99.8* Other specified disorders of skin and subcutaneous tissue in diseases classified elsewhere

Incl.:

Syphilitic:

• alopecia (A51.3†)
• leukoderma (A51.3†, A52.7†)