Q81.0
Q81.0: Epidermolysis bullosa simplex
Billable / specific codeICD-10-CMPOA exempt
Q81.0 is a billable, specific ICD-10-CM code for epidermolysis bullosa simplex. It is valid for submission on a claim.
Check Q81.0 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- Cockayne's syndrome (Q87.19)
Other codes that can never be billed with Q81.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
- L12.3Acquired epidermolysis bullosa
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Q81.0 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A57044Billing and Coding: Removal of Benign Skin Lesions
- A57161Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
- A57954Billing and Coding: Routine Foot Care
Alphabetic index entries that lead here
- Epidermolysis›bullosa›simplex
Code history
Unchanged in every release from FY2024 to FY2027.