Is ICD-10-CM code L98 billable?

No, L98 (Other disorders of skin and subcutaneous tissue, not elsewhere classified) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code L98 belong to?

L98 belongs to Chapter 12 of the ICD-10-CM tabular list: L00–L99 (Diseases of the Skin and Subcutaneous Tissue).

L98Not billable, use a more specific code below

Other disorders of skin and subcutaneous tissue, not elsewhere classified

In Other disorders of the skin and subcutaneous tissue (L80-L99), chapter 12: Diseases of the Skin and Subcutaneous Tissue

145 billable codes under L98: 80 are a CC; 136 map to HCC 380 (Chronic Ulcer of Skin, Except Pressure, Through to Bone or Muscle), HCC 383 (Chronic Ulcer of Skin, Except Pressure, Not Specified as Through to Bone or Muscle).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.

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.

Pressure ulcer stage codes (page 58)
Non-Pressure Chronic Ulcers (page 60)

Read Section I.C.12 (page 58)

All codes under L98

L98 can't be used on a claim. Pick a billable code below; grey headings group them.

L98 MS-DRGs

As the principal diagnosis, the billable codes under L98 group to these 12 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

DRG 573 Skin Graft for Skin Ulcer or Cellulitis with MCC (137 of 145 codes)
DRG 574 Skin Graft for Skin Ulcer or Cellulitis with CC (137 of 145 codes)
DRG 575 Skin Graft for Skin Ulcer or Cellulitis without CC/MCC (137 of 145 codes)
DRG 592 Skin Ulcers with MCC (136 of 145 codes)
DRG 593 Skin Ulcers with CC (136 of 145 codes)
DRG 594 Skin Ulcers without CC/MCC (136 of 145 codes)
DRG 606 Minor Skin Disorders with MCC (7 of 145 codes)
DRG 607 Minor Skin Disorders without MCC (7 of 145 codes)
DRG 602 Cellulitis with MCC (2 of 145 codes)
DRG 603 Cellulitis without MCC (2 of 145 codes)
DRG 791 Prematurity with Major Problems (1 of 145 codes)
DRG 793 Full Term Neonate with Major Problems (1 of 145 codes)

About the condition

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

Skin Conditions

Your skin is your body's largest organ. It covers the entire outside of your body. There are many ways that your skin protects your body and helps keep you healthy. For example, it:

Code history

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