L26 — Exfoliative dermatitis
L26 is a billable, specific ICD-10-CM code for exfoliative dermatitis. It is valid for submission on a claim.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- Ritter's disease (L00)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Hebra's pityriasis
Risk adjustment
L26 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
L26 is named in 10 Medicare coverage policies — 10 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56587Billing and Coding: Cosmetic and Reconstructive Surgery
- A56658Billing and Coding: Cosmetic and Reconstructive Surgery
- A56837Billing and Coding: Reduction Mammaplasty
- A57044Billing and Coding: Removal of Benign Skin Lesions
How L26 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to L26.
- Dermatitis›exfoliative, exfoliativa(generalized)
- Dermatosis›exfoliativa
- Hebra's›pityriasis
- Pityriasis›Hebra's
Questions about L26
- Is L26 a billable ICD-10-CM code?
- Yes. L26 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does L26 sit in the tabular list?
- Diseases of the skin and subcutaneous tissue (L00-L99), in the block Dermatitis and eczema (L20-L30).
- What cannot be coded together with L26?
- L26 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.