Is L98.0 a billable ICD-10-CM code?

Yes. L98.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does L98.0 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).

L98.0

L98.0 — Pyogenic granuloma

Billable / specific codeICD-10-CM

L98.0 is a billable, specific ICD-10-CM code for pyogenic granuloma. It is valid for submission on a claim.

Excludes2 — 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.

pyogenic granuloma of gingiva (K06.8)
pyogenic granuloma of maxillary alveolar ridge (K04.5)
pyogenic granuloma of oral mucosa (K13.4)

Risk adjustment

L98.0 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

L98.0 is named in 10 Medicare coverage policies — 10 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56346Billing and Coding: Removal of Benign and Malignant Skin Lesions
A56459Billing and Coding: Debridement Services
A57044Billing and Coding: Removal of Benign Skin Lesions
A57113Billing and Coding: Removal of Benign Skin Lesions

How L98.0 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 L98.0.

Granuloma›pyogenic, pyogenicum(of) (skin)
Granuloma›septic(skin)
Granuloma›suppurative(skin)
Granuloma›telangiectaticum(skin)
Granuloma›abdomen›pyogenicum
Granuloma›skin›pyogenicum

Related codes at this level

Codes that share L98. If L98.0 is not quite right, the correct code is usually one of these.

Questions about L98.0

Is L98.0 a billable ICD-10-CM code?: Yes. L98.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does L98.0 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).