L50Not billable, use a more specific code below

Urticaria

In Urticaria and erythema (L49-L54), chapter 12: Diseases of the Skin and Subcutaneous Tissue

9 billable codes under L50: none are a CC or MCC; none map to an HCC.

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Instructional notes

Excludes1: not coded here, use a different code

  • allergic contact dermatitis (L23.-)
  • angioneurotic edema (T78.3)
  • giant urticaria (T78.3)
  • hereditary angio-edema (D84.1)
  • Quincke's edema (T78.3)
  • serum urticaria (T80.6-)
  • solar urticaria (L56.3)
  • urticaria neonatorum (P83.8)
  • urticaria papulosa (L28.2)
  • urticaria pigmentosa (D47.01)

Also applies, from Urticaria and erythema (L49-L54)

These notes sit on L49-L54 and apply to every code under it, including L50.

Excludes1: not coded here, use a different code

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)

L50 MS-DRGs

As the principal diagnosis, the billable codes under L50 group to MS-DRG 606, 607, 791, or 793 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to L50

Notes on these codes point to L50.

  • F54 Code First: urticaria (L50.-)
  • L27 Excludes2: urticaria (L50.-)
  • L95 Excludes1: urticaria (L50.-)
  • T78.3 Excludes1: urticaria (L50.-)

About the condition

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

Hives

Hives are red and sometimes itchy bumps on your skin. An allergic reaction to a drug or food usually causes them. Allergic reactions cause your body to release chemicals that can make your skin swell up in hives. People who have other allergies are more likely to get hives than other people. Other causes include infections and stress.

Read more about hives on MedlinePlus

Code history

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