L56.4
L56.4: Polymorphous light eruption
Billable / specific codeICD-10-CM
L56.4 is a billable, specific ICD-10-CM code for polymorphous light eruption. It is valid for submission on a claim.
Check L56.4 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
L56.4 is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56459Billing and Coding: Debridement Services
- A60360Billing and Coding: Allergy Diagnostic Testing
- A60361Billing and Coding: Allergy Diagnostic Testing
- A60363Billing and Coding: Allergy Diagnostic Testing
Alphabetic index entries that lead here
- Eruption›Hutchinson, summer
- Eruption›polymorphous light(sun)
- Hydroa›aestivale
- Hydroa›vacciniforme
- Prurigo›estivalis
- Hutchinson's›disease, meaning›prurigo estivalis
- Hutchinson's›disease, meaning›summer eruption or summer prurigo
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]
- L56.3Solar urticaria
- 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