Is L94.9 a billable ICD-10-CM code?

Yes. L94.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does L94.9 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 L94.9?

L94.9 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 L94.9 (L94) and apply to it just the same.

L94.9

L94.9 — Localized connective tissue disorder, unspecified

Billable / specific codeICD-10-CM

L94.9 is a billable, specific ICD-10-CM code for localized connective tissue disorder, unspecified. It is valid for submission on a claim.

Excludes1 inherited from the categories above L94.9

These are not written on L94.9, but they bind it: a note on a category applies to every code beneath it. Billing L94.9 with anything listed here is a denial.

Written on L94 — Other localized connective tissue disorders

systemic connective tissue disorders (M30-M36)

Risk adjustment

L94.9 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

L94.9 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.

A57161Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)

How L94.9 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 L94.9.

Disorder›connective tissue, localized

Code history

L94.9 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 L94. If L94.9 is not quite right, the correct code is usually one of these.

Questions about L94.9

Is L94.9 a billable ICD-10-CM code?: Yes. L94.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does L94.9 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 L94.9?: L94.9 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 L94.9 (L94) and apply to it just the same.