2027 ICD-10-CM Diagnosis Code L44.4Infantile papular acrodermatitis [Gianotti-Crosti]

ICD-10-CM Codes›L00–L99›L40-L45›L44

ICD-10-CM L44.4
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

L44.4 is a billable ICD-10-CM diagnosis code for infantile papular acrodermatitis [Gianotti-Crosti]. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 865 through 866. The code is restricted by the Medicare Code Editor to pediatric patients (age 0 through 17). Coders also document this condition as acropustulosis of infancy. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified inflammatory condition of skin.

Code Identity

ICD-10-CM Code
L44.4
Billable Status
Yes — Valid for Submission
Code Describes
Infantile papular acrodermatitis [Gianotti-Crosti]
Short Description
Infantile papular acrodermatitis [Gianotti-Crosti]
Same as the full description in the CMS dataset.
Parent Code
L44
Other papulosquamous disorders

Code Classification

ChapterL00–L99Diseases of the skin and subcutaneous tissue
SectionL40-L45Papulosquamous disorders
CategoryL44Other papulosquamous disorders
This CodeL44.4Infantile papular acrodermatitis [Gianotti-Crosti]

Code EditsBilling

Medicare Code Editor checks that affect claim validity for L44.4.

Pediatric diagnoses
The Medicare Code Editor detects inconsistencies in pediatric cases by checking a patient's age and any diagnosis on the patient's record. The pediatric code edits apply to patients age range is 0–17 years inclusive (e.g., Reye's syndrome, routine child health exam).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Acropustulosis of infancy
  • Gianotti-Crosti syndrome
  • Localized pustular psoriasis
  • Pustular psoriasis of palm of hand
  • Pustular psoriasis of palms and soles
  • Pustular psoriasis of sole of foot

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to L44.4: its own notes plus those printed at Chapter 12. A note printed at a category, block or chapter applies to every code under it.

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 12 (L00-L99) Diseases of the skin and subcutaneous tissue applies to 1,001 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • lipomelanotic reticulosis (I89.8)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • systemic connective tissue disorders (M30-M36)
  • viral warts (B07.-)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR SKN002
Other specified inflammatory condition of skin
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Eczema

Eczema is a term for several different types of skin swelling. Eczema is also called dermatitis. Most types cause dry, itchy skin and rashes on the face, inside the elbows and behind the knees, and on the hands and feet. Scratching the skin can cause it to turn red, and to swell and itch even more.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert L44.4 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
057.8 Viral exanthemata NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About L44.4Overview

What is the ICD-10 code for infantile papular acrodermatitis [Gianotti-Crosti]?

The ICD-10-CM code for infantile papular acrodermatitis [Gianotti-Crosti] is L44.4 (sometimes written as L444). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is L44.4 (Other papulosquamous disorders) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report infantile papular acrodermatitis [Gianotti-Crosti] on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does L44.4 group to?

When infantile papular acrodermatitis [Gianotti-Crosti] is the principal diagnosis on an inpatient stay, it groups to MS-DRG 866, 865, with relative weights from 0.8691 to 1.3153 depending on complications. Higher weights mean higher Medicare reimbursement.

Who can L44.4 be reported for?

The Medicare Code Editor checks infantile papular acrodermatitis [Gianotti-Crosti] against patient demographics: this code is intended for pediatric patients (age 0 through 17). Claims outside these limits are flagged as inconsistent.

What is the ICD-9 equivalent of L44.4?

Under the General Equivalence Mappings, infantile papular acrodermatitis [Gianotti-Crosti] converts to ICD-9-CM 057.8 (viral exanthemata NEC). The mapping is approximate, so confirm the match fits the documentation.