2026 ICD-10-CM Diagnosis Code L27.1Localized skin eruption due to drugs and medicaments taken internally
ICD-10-CM Codes›L00–L99›L20-L30›L27
- Billable — Valid for Submission
- Not Chronic
L27.1 is a billable ICD-10-CM diagnosis code for localized skin eruption due to drugs and medicaments taken internally. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 606 through 607. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Allergic reactions and Other specified inflammatory condition of skin.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Acneiform drug eruption
- Acneiform eruption
- Eczematous drug eruption
- Fixed drug eruption
- Fixed drug eruption caused by phenolphthalein
- Fixed drug reaction
- Localized eruption of skin
- Localized skin eruption caused by drug and medicament
- Non-pigmenting fixed drug eruption
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Use Additional Code
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Eruption
- due to inoculation/vaccination (generalized) - See Also: Dermatitis, due to, vaccine; - L27.0
- localized - L27.1
- Erythrodysesthesia, palmar plantar (PPE) - L27.1
- Hand-foot syndrome - L27.1
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Dermatitis(eczematous)
- due to
- drugs and medicaments (generalized) (internal use)
- localized skin eruption
- Eruption
- drug (generalized) (taken internally)
- fixed
- Eruption
- drug (generalized) (taken internally)
- localized
- Eruption
- skin (nonspecific)
- due to inoculation/vaccination (generalized)
- localized
- Erythrodysesthesia, palmar plantar(PPE)
- Hand-foot syndrome
- Syndrome
- hand-foot
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Fixed Drug Eruption
round areas of red-purple reaction in the skin that result after drug exposure; these recur in the same location when the medication is readministered.
Patient EducationClinical
Drug Reactions
Most of the time, medicines make our lives better. They reduce aches and pains, fight infections, and control problems such as high blood pressure or diabetes. But medicines can also cause unwanted reactions, such as drug interactions, side effects, and allergies.
The full article covers:
- What is a drug interaction?
- What are side effects?
- What are drug allergies?
- How can I stay safe when taking medicines?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert L27.1 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About L27.1Overview
Is L27.1 (Dermatitis due to substances taken internally) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report localized skin eruption due to drugs and medicaments taken internally on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does L27.1 group to?
When localized skin eruption due to drugs and medicaments taken internally is the principal diagnosis on an inpatient stay, it groups to MS-DRG 606, 607, with relative weights from 0.9064 to 1.5132 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of L27.1?
Under the General Equivalence Mappings, localized skin eruption due to drugs and medicaments taken internally converts to ICD-9-CM 693.0 (drug dermatitis NOS). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
