L87.2 — Elastosis perforans serpiginosa
L87.2 is a billable, specific ICD-10-CM code for elastosis perforans serpiginosa. It is valid for submission on a claim.
Excludes1 inherited from the categories above L87.2
These are not written on L87.2, but they bind it: a note on a category applies to every code beneath it. Billing L87.2 with anything listed here is a denial.
Risk adjustment
L87.2 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
L87.2 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.
- A57044Billing and Coding: Removal of Benign Skin Lesions
- A57161Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
- A57482Billing and Coding: Removal of Benign Skin Lesions
- A57954Billing and Coding: Routine Foot Care
How L87.2 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 L87.2.
- Miescher's elastoma
- Elastoma›Miescher's
- Elastosis›perforans serpiginosa
Code history
L87.2 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share L87. If L87.2 is not quite right, the correct code is usually one of these.
Questions about L87.2
- Is L87.2 a billable ICD-10-CM code?
- Yes. L87.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does L87.2 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).
- What cannot be coded together with L87.2?
- L87.2 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above L87.2 (L87) and apply to it just the same.