Is L72.1 a billable ICD-10-CM code?

No. L72.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does L72.1 sit in the tabular list?

Diseases of the skin and subcutaneous tissue (L00-L99), in the block Disorders of skin appendages (L60-L75).

L72.1

L72.1 — Pilar and trichodermal cyst

Non-billable headerICD-10-CM

L72.1 is a non-billable header ICD-10-CM code for pilar and trichodermal cyst. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

L72.1 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.

Code to one of these instead L72.1

2 child codes. Green means billable.

L72.11Pilar cyst
L72.12Trichodermal cyst

Related codes at this level

Codes that share L72. If L72.1 is not quite right, the correct code is usually one of these.

L72.0Epidermal cyst
L72.2Steatocystoma multiplex
L72.3Sebaceous cyst
L72.8Other follicular cysts of the skin and subcutaneous tissue
L72.9Follicular cyst of the skin and subcutaneous tissue, unspecified

Questions about L72.1

Is L72.1 a billable ICD-10-CM code?: No. L72.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does L72.1 sit in the tabular list?: Diseases of the skin and subcutaneous tissue (L00-L99), in the block Disorders of skin appendages (L60-L75).