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L92.1

L92.1Necrobiosis lipoidica, not elsewhere classified

Billable / specific codeICD-10-CM

L92.1 is a billable, specific ICD-10-CM code for necrobiosis lipoidica, not elsewhere classified. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • necrobiosis lipoidica associated with diabetes mellitus (E08-E13 with .620)

Risk adjustment

L92.1 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

L92.1 is named in 1 Medicare coverage policy 1 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

How L92.1 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 L92.1.

  • Necrobiosislipoidica NEC

Related codes at this level

Codes that share L92. If L92.1 is not quite right, the correct code is usually one of these.

Questions about L92.1

Is L92.1 a billable ICD-10-CM code?
Yes. L92.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does L92.1 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 L92.1?
L92.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 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.