L98.1

L98.1: Factitial dermatitis

Billable / specific codeICD-10-CM

L98.1 is a billable, specific ICD-10-CM code for factitial dermatitis. It is valid for submission on a claim.

Check L98.1 with the rest of the claim: free scrubber

Excludes1: never code together

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

Excoriation (skin-picking) disorder (F42.4)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Neurotic excoriation

Other codes that can never be billed with L98.1

Their own Excludes1 notes name this code, so the conflict is not listed above.

L29Pruritus
F42.4Excoriation (skin-picking) disorder

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

L98.1 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57130Billing and Coding: Psychiatric Codes

Alphabetic index entries that lead here

Dermatitis›artefacta
Dermatitis›facta, factitia, factitial
Dermatosis›factitial
Excoriation›neurotic
Neurosis, neurotic›excoriation
Eruption›skin›feigned

Code history

Unchanged in every release from FY2024 to FY2027.