L90.5
L90.5: Scar conditions and fibrosis of skin
Billable / specific codeICD-10-CM
L90.5 is a billable, specific ICD-10-CM code for scar conditions and fibrosis of skin. It is valid for submission on a claim.
Check L90.5 with the rest of the claim: free scrubberExcludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Adherent scar (skin)
- Cicatrix
- Disfigurement of skin due to scar
- Fibrosis of skin NOS
- Scar NOS
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
L90.5 is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A57044Billing and Coding: Removal of Benign Skin Lesions
Alphabetic index entries that lead here
- Cicatrix(adherent) (contracted) (painful) (vicious)
- Disfigurement(due to scar)
- Scar, scarring
- Adherent›scar(skin)
- Adherent›tendon in scar
- Atrophy, atrophic›scar
- Cicatrix›skin
- Cicatrix›specified site NEC
- Cicatrix›wrist, constricting(annular)
- Fibrosis, fibrotic›skin
- Painful›scar NEC
- Scar, scarring›adherent
Code history
Unchanged in every release from FY2024 to FY2027.