L12.35

L12.35: Other acquired epidermolysis bullosa

Billable / specific codeICD-10-CM

L12.35 is a billable, specific ICD-10-CM code for other acquired epidermolysis bullosa. It is valid for submission on a claim.

Check L12.35 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above L12.35

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

L12.35 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56786Billing and Coding: Immune Globulin
A57554Billing and Coding: Immune Globulins
A57778Billing and Coding: Immune Globulin

Alphabetic index entries that lead here

Epidermolysis›bullosa›acquired›specified cause NEC

Code history

Unchanged in every release from FY2024 to FY2027.