2026 ICD-10-CM Diagnosis Code L56.0Drug phototoxic response
ICD-10-CM Codes›L00–L99›L55-L59›L56
- Billable — Valid for Submission
- Not Chronic
L56.0 is a billable ICD-10-CM diagnosis code for drug phototoxic response. 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 and unspecified skin disorders.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Acute phototoxic reaction
- Photosensitivity caused by drug
- Phototoxic drug eruption
- Phototoxic reaction to tar or derivative
- Phototoxic reaction to topical chemical
- Phototoxic reaction to topical psoralen therapy
- Phototoxic reaction to topically applied medicament
- Phototoxicity
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.
- Reaction - See Also: Disorder;
- phototoxic - L56.0
- phototoxic - L56.0
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Reaction
- drug NEC
- phototoxic
- Response(drug)
- phototoxic
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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 L56.0 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About L56.0Overview
Is L56.0 (Other acute skin changes due to ultraviolet radiation) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report drug phototoxic response on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does L56.0 group to?
When drug phototoxic response 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 L56.0?
Under the General Equivalence Mappings, drug phototoxic response converts to ICD-9-CM 692.72 (act drmtitis solar rdiat). 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.
