L94.0
L94.0: Localized scleroderma [morphea]
Billable / specific codeICD-10-CM
L94.0 is a billable, specific ICD-10-CM code for localized scleroderma [morphea]. It is valid for submission on a claim.
Check L94.0 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Circumscribed scleroderma
Other codes that can never be billed with L94.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
- M34Systemic sclerosis [scleroderma]
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
L94.0 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A56346Billing and Coding: Removal of Benign and Malignant Skin Lesions
- A57484Billing and Coding: Vitamin D Assay Testing
Alphabetic index entries that lead here
- Morphea
- Addison's›keloid
- Dermatosclerosis›localized
- Keloid, cheloid›Addison's
- Scleroderma, sclerodermia›circumscribed
- Scleroderma, sclerodermia›localized
Code history
Unchanged in every release from FY2024 to FY2027.