L12.31

L12.31: Epidermolysis bullosa due to drug

Billable / specific codeICD-10-CM

L12.31 is a billable, specific ICD-10-CM code for epidermolysis bullosa due to drug. It is valid for submission on a claim.

Check L12.31 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 L12.31

A category’s note binds every code beneath it.

Written on L12.3: Acquired epidermolysis bullosa

epidermolysis bullosa (congenital) (Q81.-)

Written on L12: Pemphigoid

herpes gestationis (O26.4-)
impetigo herpetiformis (L40.1)

Risk adjustment

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

Medicare coverage

L12.31 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57161Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
A57554Billing and Coding: Immune Globulins

L12.31: Epidermolysis bullosa due to drug

Use additional code

Excludes1 inherited from the categories above L12.31

Risk adjustment

Medicare coverage

Alphabetic index entries that lead here

Code history

Other codes under L12.3