L12.8

L12.8: Other pemphigoid

Billable / specific codeICD-10-CM

L12.8 is a billable, specific ICD-10-CM code for other pemphigoid. It is valid for submission on a claim.

Check L12.8 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above L12.8

A category’s note binds every code beneath it.

Written on L12: Pemphigoid

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

Risk adjustment

L12.8 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 387 Pemphigus, Pemphigoid, and Other Specified Autoimmune Skin Disorders0.406 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

L12.8 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
A56718Billing and Coding: Intravenous Immunoglobulin (IVIG)

Alphabetic index entries that lead here

Pemphigoid›specified NEC

Code history

Unchanged in every release from FY2024 to FY2027.