L22Billable, valid for claims from October 1, 2026

Diaper dermatitis

In Dermatitis and eczema (L20-L30), chapter 12: Diseases of the Skin and Subcutaneous Tissue

  • L22 is billable and valid on claims for FY 2027. If the record has more detail, check the other codes under L20-L30 below.
  • As a secondary diagnosis it is not a CC or MCC, so it doesn't raise the MS-DRG payment.
  • Doesn't count toward a Medicare Advantage risk score (no HCC in V28).
  • AHRQ's Chronic Condition Indicator classes it as not chronic (an acute or short-term condition).

Also indexed as: Dermatitis, ammonia; Dermatitis, diaper; Dermatitis, Jacquet's; Dermatitis, napkin; Diaper rash; Eruption, napkin; Erythema, diaper; Erythema, gluteal; Erythema, napkin; Jacquet's dermatitis; Napkin rash; Rash, diaper; Rash, napkin

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Instructional notes

Includes: conditions that are coded here

  • Diaper erythema
  • Diaper rash
  • Psoriasiform diaper rash

Also applies, from Dermatitis and eczema (L20-L30)

These notes sit on L20-L30 and apply to every code under it, including L22.

Excludes2: not included here, code separately if applicable

  • chronic (childhood) granulomatous disease (D71-)
  • dermatitis gangrenosa (L08.0)
  • dermatitis herpetiformis (L13.0)
  • dry skin dermatitis (L85.3)
  • factitial dermatitis (L98.1)
  • perioral dermatitis (L71.0)
  • radiation-related disorders of the skin and subcutaneous tissue (L55-L59)
  • stasis dermatitis (I87.2)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers assigning pressure ulcer codes by site and stage, including unstageable, healing, healed, and progressing ulcers, and coding healing or progressing non-pressure chronic ulcers.

Read Section I.C.12 (page 58)

L22 MS-DRGs

As the principal diagnosis, L22 groups to MS-DRG 606, 607, or 795 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Related conditions

Grouped by AHRQ's Clinical Classifications Software Refined (CCSR), which sorts every diagnosis code into clinically meaningful categories.

L22 is in Contact dermatitis (SKN005, its default category), with 49 codes. Others in it:

  • L23.0 Allergic contact dermatitis due to metals
  • L23.1 Allergic contact dermatitis due to adhesives
  • L23.2 Allergic contact dermatitis due to cosmetics
  • L23.3 Allergic contact dermatitis due to drugs in contact with skin
  • L23.4 Allergic contact dermatitis due to dyes
  • L23.5 Allergic contact dermatitis due to other chemical products
  • L23.6 Allergic contact dermatitis due to food in contact with the skin
  • L23.7 Allergic contact dermatitis due to plants, except food

Other codes that refer to L22

Notes on these codes point to L22.

  • B37.2 Excludes2: diaper dermatitis (L22)
  • L23 Excludes2: diaper dermatitis (L22)
  • L24 Excludes2: diaper dermatitis (L22)
  • L24.A2 Excludes1: diaper dermatitis (L22)
  • P83 Excludes2: diaper [napkin] dermatitis (L22)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Common Infant and Newborn Problems

It is hard when your baby is sick. Common health problems in babies include colds, coughs, fevers, and vomiting. Babies also commonly have skin problems, like diaper rash or cradle cap.

Read more about common infant and newborn problems on MedlinePlus

Rashes

A rash is an area of irritated or swollen skin. Many rashes are itchy, red, painful, and irritated. Some rashes can also lead to blisters or patches of raw skin. Rashes are a symptom of many different medical problems. Other causes include irritating substances and allergies. Certain genes can make people more likely to get rashes.

Read more about rashes on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.

ICD-9-CM equivalent

Legacy crosswalk from the CMS General Equivalence Mappings (last updated 2018).

  • 691.0 Diaper or napkin rash
ICD-9 to ICD-10 converter