L28.0 — Lichen simplex chronicus
L28.0 is a billable, specific ICD-10-CM code for lichen simplex chronicus. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Circumscribed neurodermatitis
- Lichen NOS
Risk adjustment
L28.0 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
L28.0 is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57113Billing and Coding: Removal of Benign Skin Lesions
- A57113Billing and Coding: Removal of Benign Skin Lesions
- A57113Billing and Coding: Removal of Benign Skin Lesions
- A57113Billing and Coding: Removal of Benign Skin Lesions
How L28.0 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 L28.0.
- Lichen
- Lichenification
- Neurodermatitis(circumscribed) (circumscripta) (local)
- Vidal's disease
- Dermatitis›lichenified NEC
- Eczema›hypertrophicum
- Eczema›lichenified NEC
- Lichen›simplex(chronicus) (circumscriptus)
- Eruption›skin›lichenoid
Related codes at this level
Codes that share L28. If L28.0 is not quite right, the correct code is usually one of these.
Questions about L28.0
- Is L28.0 a billable ICD-10-CM code?
- Yes. L28.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does L28.0 sit in the tabular list?
- Diseases of the skin and subcutaneous tissue (L00-L99), in the block Dermatitis and eczema (L20-L30).