Is L76.1 a billable ICD-10-CM code?

No. L76.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does L76.1 sit in the tabular list?

Diseases of the skin and subcutaneous tissue (L00-L99), in the block Intraoperative and postprocedural complications of skin and subcutaneous tissue (L76).

L76.1

L76.1 — Accidental puncture and laceration of skin and subcutaneous tissue during a procedure

Non-billable headerICD-10-CM

L76.1 is a non-billable header ICD-10-CM code for accidental puncture and laceration of skin and subcutaneous tissue during a procedure. It cannot be billed on its own: choose one of the more specific child codes below.

Other codes that can never be billed with L76.1

These codes carry an Excludes1 note pointing at L76.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading L76.1 alone.

L76.0Intraoperative hemorrhage and hematoma of skin and subcutaneous tissue complicating a procedure

Risk adjustment

L76.1 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 L76.1

2 child codes. Green means billable.

Related codes at this level

Codes that share L76. If L76.1 is not quite right, the correct code is usually one of these.

Questions about L76.1

Is L76.1 a billable ICD-10-CM code?: No. L76.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does L76.1 sit in the tabular list?: Diseases of the skin and subcutaneous tissue (L00-L99), in the block Intraoperative and postprocedural complications of skin and subcutaneous tissue (L76).