R23.4
R23.4: Changes in skin texture
Billable / specific codeICD-10-CM
R23.4 is a billable, specific ICD-10-CM code for changes in skin texture. It is valid for submission on a claim.
Check R23.4 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.
- epidermal thickening NOS (L85.9)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Desquamation of skin
- Induration of skin
- Scaling of skin
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
R23.4 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
- A57636Billing and Coding: Duplex Scanning
Alphabetic index entries that lead here
- Crusts
- Desquamation, skin
- Inelasticity, skin
- Parakeratosis
- Scabs
- Scales
- Scaling, skin
- Fissure, fissured›skin
- Induration, indurated›skin
- Loss›elasticity, skin
- Thickening›skin
- Change›skin›texture
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.