MCMedicalCodingSoftware
Q81.9

Q81.9: Epidermolysis bullosa, unspecified

Billable / specific codeICD-10-CMPOA exempt

Q81.9 is a billable, specific ICD-10-CM code for epidermolysis bullosa, unspecified. It is valid for submission on a claim.

Check Q81.9 with the rest of the claim: free scrubber

Other codes that can never be billed with Q81.9

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

Q81.9 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A57161Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
  • A58565Billing and Coding: Wound and Ulcer Care

Alphabetic index entries that lead here

  • Epidermolysis›bullosa(congenital)

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Q81

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.