L88: Pyoderma gangrenosum
L88 is a billable, specific ICD-10-CM code for pyoderma gangrenosum. It is valid for submission on a claim.
Check L88 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- dermatitis gangrenosa (L08.0)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Phagedenic pyoderma
Other codes that can never be billed with L88
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
L88 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 387 Pemphigus, Pemphigoid, and Other Specified Autoimmune Skin Disorders0.406 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
L88 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52423Billing and Coding: Infliximab and biosimilars
- A55909Billing and Coding: Wound Care
- A56459Billing and Coding: Debridement Services
- A57554Billing and Coding: Immune Globulins
Alphabetic index entries that lead here
- Phagedena›geometric
- Pyoderma, pyodermia›gangrenosum
- Pyoderma, pyodermia›phagedenic
Code history
Unchanged in every release from FY2024 to FY2027.