Is L81.4 a billable ICD-10-CM code?

Yes. L81.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does L81.4 sit in the tabular list?

Diseases of the skin and subcutaneous tissue (L00-L99), in the block Other disorders of the skin and subcutaneous tissue (L80-L99).

L81.4

L81.4 — Other melanin hyperpigmentation

Billable / specific codeICD-10-CM

L81.4 is a billable, specific ICD-10-CM code for other melanin hyperpigmentation. It is valid for submission on a claim.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Lentigo

Risk adjustment

L81.4 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

L81.4 is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A57113Billing and Coding: Removal of Benign Skin Lesions
A57113Billing and Coding: Removal of Benign Skin Lesions
A57113Billing and Coding: Removal of Benign Skin Lesions
A57113Billing and Coding: Removal of Benign Skin Lesions

How L81.4 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 L81.4.

Lentigo(congenital)
Melanoderma, melanodermia
Melanosis
Riehl's melanosis
Hyperpigmentation›melanin NEC
Melanosis›Riehl's
Melanosis›tar
Melanosis›toxic
Spots, spotting›liver

Related codes at this level

Codes that share L81. If L81.4 is not quite right, the correct code is usually one of these.

Questions about L81.4

Is L81.4 a billable ICD-10-CM code?: Yes. L81.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does L81.4 sit in the tabular list?: Diseases of the skin and subcutaneous tissue (L00-L99), in the block Other disorders of the skin and subcutaneous tissue (L80-L99).