L01.03 — Bullous impetigo
L01.03 is a billable, specific ICD-10-CM code for bullous impetigo. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Impetigo neonatorum
- Pemphigus neonatorum
Other codes that can never be billed with L01.03
These codes carry an Excludes1 note pointing at L01.03. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading L01.03 alone.
Risk adjustment
L01.03 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
L01.03 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56459Billing and Coding: Debridement Services
How L01.03 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to L01.03.
- Impetigo›bullous, bullosa
- Impetigo›neonatorum
- Pemphigus›neonatorum
Related codes at this level
Codes that share L01.0. If L01.03 is not quite right, the correct code is usually one of these.
Questions about L01.03
- Is L01.03 a billable ICD-10-CM code?
- Yes. L01.03 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does L01.03 sit in the tabular list?
- Diseases of the skin and subcutaneous tissue (L00-L99), in the block Infections of the skin and subcutaneous tissue (L00-L08).