L98.5 — Mucinosis of the skin
L98.5 is a billable, specific ICD-10-CM code for mucinosis of the skin. It is valid for submission on a claim.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Focal mucinosis
- Lichen myxedematosus
- Reticular erythematous mucinosis
Risk adjustment
L98.5 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
L98.5 is named in 8 Medicare coverage policies — 8 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56439Billing and Coding: Blepharoplasty
- A56786Billing and Coding: Immune Globulin
- A57044Billing and Coding: Removal of Benign Skin Lesions
- A57482Billing and Coding: Removal of Benign Skin Lesions
How L98.5 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 L98.5.
- Mucinosis(cutaneous) (focal) (papular) (reticular erythematous) (skin)
- Reticular erythematous mucinosis
- Scleromyxedema
- Lichen›myxedematosus
- Myxedema›cutis
- Myxedema›papular
Related codes at this level
Codes that share L98. If L98.5 is not quite right, the correct code is usually one of these.
- L98.0Pyogenic granuloma
- L98.1Factitial dermatitis
- L98.2Febrile neutrophilic dermatosis [Sweet]
- L98.3Eosinophilic cellulitis [Wells]
- L98.4Non-pressure chronic ulcer of skin, not elsewhere classified
- L98.ANon-pressure chronic ulcer of upper limb, not elsewhere classified
- L98.6Other infiltrative disorders of the skin and subcutaneous tissue
- L98.7Excessive and redundant skin and subcutaneous tissue
- L98.8Other specified disorders of the skin and subcutaneous tissue
- L98.9Disorder of the skin and subcutaneous tissue, unspecified
Questions about L98.5
- Is L98.5 a billable ICD-10-CM code?
- Yes. L98.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does L98.5 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 L98.5?
- L98.5 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.