MCMedicalCodingSoftware
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.

Check L81.4 with the rest of the claim: free scrubber

Inclusion terms

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

  • Lentigo

Excludes1 inherited from the categories above L81.4

A category’s note binds every code beneath it.

Written on L81: Other disorders of pigmentation

Excludes2 inherited from the categories above L81.4

Not part of this code, but both may be coded when both are present.

Written on L81: Other disorders of pigmentation

  • nevus - see Alphabetical Index

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

L81.4 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A57113Billing and Coding: Removal of Benign Skin Lesions

Alphabetic index entries that lead here

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

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under L81

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.