L74.512 — Primary focal hyperhidrosis, palms
L74.512 is a billable, specific ICD-10-CM code for primary focal hyperhidrosis, palms. It is valid for submission on a claim.
Risk adjustment
L74.512 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
L74.512 is named in 14 Medicare coverage policies — 14 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56034Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
- A56607Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
- A57185Billing and Coding: Botulinum Toxin Injections
- A57186Billing and Coding: Botulinum Toxin Injections
How L74.512 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 L74.512.
- Hyperhidrosis, hyperidrosis›focal›primary›palms
- Hyperhidrosis, hyperidrosis›localized›primary›palms
Related codes at this level
Codes that share L74.51. If L74.512 is not quite right, the correct code is usually one of these.
Questions about L74.512
- Is L74.512 a billable ICD-10-CM code?
- Yes. L74.512 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does L74.512 sit in the tabular list?
- Diseases of the skin and subcutaneous tissue (L00-L99), in the block Disorders of skin appendages (L60-L75).