2026 ICD-10-CM Diagnosis Code L10.81Paraneoplastic pemphigus
ICD-10-CM Codes›L00–L99›L10-L14›L10
- Billable — Valid for Submission
- Chronic Condition
L10.81 is a billable ICD-10-CM diagnosis code for paraneoplastic pemphigus. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 595 through 596. Coders also document this condition as pemphigus paraneoplastica. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified inflammatory condition of skin.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Pemphigus paraneoplastica
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- paraneoplastic - L10.81
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Pemphigus
- paraneoplastic
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Desmoglein 1
a desmosomal cadherin that is an autoantigen in the acquired skin disorder pemphigus foliaceus.Pemphigus
group of chronic blistering diseases characterized histologically by acantholysis and blister formation within the epidermis.Pemphigus, Benign Familial
an autosomal dominantly inherited skin disorder characterized by recurrent eruptions of vesicles and bullae mainly on the neck, axillae, and groin. mutations in the atp2c1 gene (encoding the secretory pathway ca2++/mn2++ atpase 1 (spca1)) cause this disease. it is clinically and histologically similar to darier disease - both have abnormal, unstable desmosomes between keratinocytes and defective calcium-transporting atpases. it is unrelated to pemphigus vulgaris though it closely resembles that disease.ATP2C1 wt Allele|ATP2C1A|ATPase Secretory Pathway Ca2+ Transporting 1 wt Allele|ATPase, Ca(2+)-Sequestering Gene|ATPase, Ca(2+)-Transporting, Type 2c, Member 1 Gene|ATPase, Ca++ Transporting, Type 2C, Member 1 Gene|BCPM|Benign Chronic Pemphigus (Hailey-Hailey Disease) Gene|HHD|HUSSY-28|KIAA1347|PMR1|PMR1, Rat, Homolog of Gene|SPCA1|Secretory Pathway Ca(2+) ATPase 1 Gene|Secretory Pathway Ca2+/Mn2+ ATPase 1 Gene|hSPCA1
human atp2c1 wild-type allele is located in the vicinity of 3q22.1 and is approximately 166 kb in length. this allele, which encodes calcium-transporting atpase type 2c member 1 protein, plays a role in the transport of ions into the golgi to regulate the trafficking of newly synthesized proteins via the secretory pathway. mutation of the gene are associated with familial benign pemphigus.Desmoglein-1|Cadherin Family Member 4|DESMOGLEIN 1|DG1|DGI|DSG1|Desmoglein 1|Desmosomal Glycoprotein 1|Pemphigus Foliaceus Antigen
desmoglein-1 (1049 aa, ~114 kda) is encoded by the human dsg1 gene. this protein is involved in cell-cell adhesion and keratinization.Desmoglein-3|130 kDa Pemphigus Vulgaris Antigen|Cadherin Family Member 6|DESMOGLEIN 3|DSG3|Desmoglein 3|PVA
desmoglein-3 (999 aa, ~108 kda) is encoded by the human dsg3 gene. this protein plays a role in desmosome-mediated cell-cell adhesion.Desmoplakin|250/210 kDa Paraneoplastic Pemphigus Antigen|DP
desmoplakin (2871 aa, ~332 kda) is encoded by the human dsp gene. this protein is involved in the maintenance of desmosome structure.DSG3 Antibody Positive|Anti-DSG3 Antibody Positive|Anti-Desmoglein 3 Antibody Positive|Anti-Desmoglein-3 Antibody Positive|Anti-PVA Antibody Positive|CDHF6 Antibody Positive|Cadherin Family Member 6 Antibody Positive|Desmoglein 3 Antibody Positive|Desmoglein-3 Antibody Positive|PVA Antibody Positive|Pemphigus Vulgaris Antigen Antibody Positive
an indication that antibodies that recognize desmoglein-3 (dsg3) have been detected in a sample.DSG3 wt Allele|ABOLM|CDHF6|Desmoglein 3 (Pemphigus Vulgaris Antigen) Gene|Desmoglein 3 wt Allele|PVA|Pemphigus Vulgaris Antigen Gene
human dsg3 wild-type allele is located in the vicinity of 18q12.1 and is approximately 31 kb in length. this allele, which encodes desmoglein-3 protein, is involved in the modulation of cell-cell adhesion.Familial Benign Pemphigus|Benign Familial Pemphigus|Hailey-Hailey Disease
an autosomal dominant disorder characterized by a history of multiple relapses and remissions of pemphigus lesions.Mucosal-Dominant Pemphigus Vulgaris|Mucosal Dominant Pemphigus Vulgaris|mPV
a subtype of pemphigus vulgaris in which lesions are predominantly found on mucosal membranes with relative sparing of cutaneous tissues.Pemphigus
a blistering skin disorder. morphologically it is characterized by acantholysis and intraepidermal blister formation.Pemphigus Vulgaris
an autoimmune blistering disorder. it is characterized by the presence of painful blisters and erosions in the skin and mucous membranes.
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Convert L10.81 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About L10.81Overview
Is L10.81 (Other pemphigus) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report paraneoplastic pemphigus on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does L10.81 group to?
When paraneoplastic pemphigus is the principal diagnosis on an inpatient stay, it groups to MS-DRG 595, 596, with relative weights from 1.0825 to 2.1207 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of L10.81?
Under the General Equivalence Mappings, paraneoplastic pemphigus converts to ICD-9-CM 694.4 (pemphigus). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:
- The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
- The condition places limitations on self-care, independent living, and social interactions.
