L10.5

L10.5: Drug-induced pemphigus

Billable / specific codeICD-10-CM

L10.5 is a billable, specific ICD-10-CM code for drug-induced pemphigus. It is valid for submission on a claim.

Check L10.5 with the rest of the claim: free scrubber

Use additional code

Add a secondary code to capture the detail described below.

code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Excludes1 inherited from the categories above L10.5

A category’s note binds every code beneath it.

Written on L10: Pemphigus

pemphigus neonatorum (L01.03)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

L10.5 is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A54641Billing and Coding: Intravenous Immune Globulin (IVIg)-NCD 250.3
A54643Billing and Coding: Intravenous Immune Globulin (IVIg)-NCD 250.3
A55639Billing and Coding: Chemotherapy Agents for Non-Oncologic Conditions
A56380Billing and Coding: Rituximab

Alphabetic index entries that lead here

Pemphigus›drug-induced

Code history

Unchanged in every release from FY2024 to FY2027.