L80-L99 — Other disorders of the skin and subcutaneous tissue

Risk adjustment in L80-L99

0 codes in this block map to a CMS-HCC, which means the diagnosis carries a risk-adjustment payment when it is documented and coded. Under-coding here is money left on the table; over-coding here is what audits are for.

• 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
• HCC 381 Pressure Ulcer of Skin with Full Thickness Skin Loss
• HCC 379 Pressure Ulcer of Skin with Necrosis Through to Muscle, Tendon, or Bone
• HCC 382 Pressure Ulcer of Skin with Partial Thickness Skin Loss
• HCC 387 Pemphigus, Pemphigoid, and Other Specified Autoimmune Skin Disorders

What else to watch in L80-L99

• 292 codes are laterality-specific. They come in left and right pairs, and the pair is mutually exclusive on a single site: coding both without a bilateral code is a contradiction a scrubber should catch before the payer does.
• 527 codes are named in Medicare coverage policies. An LCD or NCD lists them as supporting medical necessity, or explicitly as not supporting it. Which applies depends on the MAC for your state.