L95.1 — Erythema elevatum diutinum
L95.1 is a billable, specific ICD-10-CM code for erythema elevatum diutinum. It is valid for submission on a claim.
Risk adjustment
L95.1 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
L95.1 is named in 17 Medicare coverage policies — 17 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56658Billing and Coding: Cosmetic and Reconstructive Surgery
- A56837Billing and Coding: Reduction Mammaplasty
- A57044Billing and Coding: Removal of Benign Skin Lesions
- A57113Billing and Coding: Removal of Benign Skin Lesions
How L95.1 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 L95.1.
- Bury's disease
- Erythema, erythematous›elevatum diutinum
Related codes at this level
Codes that share L95. If L95.1 is not quite right, the correct code is usually one of these.
Questions about L95.1
- Is L95.1 a billable ICD-10-CM code?
- Yes. L95.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does L95.1 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).