Q81.9 — Epidermolysis bullosa, unspecified
Q81.9 is a billable, specific ICD-10-CM code for epidermolysis bullosa, unspecified. It is valid for submission on a claim.
Risk adjustment
Q81.9 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
Q81.9 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57161Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
- A58565Billing and Coding: Wound and Ulcer Care
How Q81.9 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 Q81.9.
- Epidermolysis›bullosa(congenital)
Related codes at this level
Codes that share Q81. If Q81.9 is not quite right, the correct code is usually one of these.
Questions about Q81.9
- Is Q81.9 a billable ICD-10-CM code?
- Yes. Q81.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Q81.9 sit in the tabular list?
- Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Other congenital malformations (Q80-Q89).