L56.3
L56.3: Solar urticaria
Billable / specific codeICD-10-CM
L56.3 is a billable, specific ICD-10-CM code for solar urticaria. It is valid for submission on a claim.
Check L56.3 with the rest of the claim: free scrubberOther codes that can never be billed with L56.3
Their own Excludes1 notes name this code, so the conflict is not listed above.
- L50Urticaria
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
L56.3 is named in 10 Medicare coverage policies: 10 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A60360Billing and Coding: Allergy Diagnostic Testing
- A60361Billing and Coding: Allergy Diagnostic Testing
- A60363Billing and Coding: Allergy Diagnostic Testing
- A60364Billing and Coding: Allergy Diagnostic Testing
Alphabetic index entries that lead here
- Urticaria›solar
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under L56
- L56.0Drug phototoxic response
- L56.1Drug photoallergic response
- L56.2Photocontact dermatitis [berloque dermatitis]
- L56.4Polymorphous light eruption
- L56.5Disseminated superficial actinic porokeratosis (DSAP)
- L56.8Other specified acute skin changes due to ultraviolet radiation
- L56.9Acute skin change due to ultraviolet radiation, unspecified