L28Not billable, use a more specific code below

Lichen simplex chronicus and prurigo

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

3 billable codes under L28: none are a CC or MCC; none map to an HCC.

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Instructional notes

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

These notes sit on L20-L30 and apply to every code under it, including L28.

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)

All codes under L28

L28 can't be used on a claim. Pick a billable code below; grey headings group them.

L28 MS-DRGs

As the principal diagnosis, all 3 billable codes under L28 group to MS-DRG 606 or 607 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

About the condition

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

Itching

Itching is an irritating sensation that makes you want to scratch your skin. Sometimes it can feel like pain, but it is different. Often, you feel itchy in one area in your body, but sometimes you may feel itching all over. Along with the itching, you may also have a rash or hives.

Read more about itching 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.