2027 ICD-10-CM Diagnosis Code L81.8Other specified disorders of pigmentation
ICD-10-CM Codes›L00–L99›L80-L99›L81
- Billable — Valid for Submission
- Not Chronic
L81.8 is a billable ICD-10-CM diagnosis code for other specified disorders of pigmentation. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 606 through 607, 795. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified and unspecified skin disorders.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Acquired disorder of skin color
- Acromelanosis
- Addisonian pigmentation of palms
- Amalgam tattoo
- Amateur tattoo
- Argyria of skin
- Arsenic-induced rain-drop hypomelanosis
- Arsenic-induced skin pigmentation
- Bier anemic spots, cyanosis, and urticaria-like eruption syndrome
- Biers spots
- Buccal pigmentation due to Addison's disease
- Carotene pigmentation of skin
- Chlorpromazine pigmentation
- Chrysoderma
- Collier's stripes
- Complication of laser surgery
- Crystal violet tattoo
- Cutis tricolor
- Decorative tattoo
- Disorder of nail color
- Drug pigmentation
- Drug-induced pigmentation
- Endogenous non-melanin pigmentation
- Erythromelanosis follicularis of face AND/OR neck
- Exogenous ochronosis
- Exogenous pigmentation of oral mucosa
- Familial progressive hyperpigmentation
- Finding of appearance of hand
- Finding of color of hand
- Finding of palmar crease
- Hemosiderin pigmentation of lower limb due to varicose veins of lower limb
- Hemosiderin pigmentation of skin
- Hemosiderin pigmentation of skin due to venous insufficiency
- Hyperpigmentation of left eyelid and periocular area
- Hyperpigmentation of left lower eyelid and periocular area
- Hyperpigmentation of lip
- Hyperpigmentation of right eyelid and periocular area
- Hyperpigmentation of right lower eyelid and periocular area
- Hyperpigmentation of skin of forehead
- Hypopigmentation of left eyelid and periocular area
- Hypopigmentation of left lower eyelid and periocular area
- Hypopigmentation of right eyelid and periocular area
- Hypopigmentation of right lower eyelid and periocular area
- Iatrogenic tattoo
- Irregular outline of pigmented skin lesion
- Labial melanin incontinence
- Laser-induced dyspigmentation
- Laser-induced hyperpigmentation
- Laugier-Hunziker syndrome
- Local exogenous pigmentation of oral mucosa
- Local exogenous pigmentation of oral soft tissue
- Malarial pigment deposition
- Melanin pigmentation of oral mucosa
- Melanonychia
- Melanosis of mucosa of body orifice
- Mercury pigmentation of skin
- Mixed color of pigmented skin lesion
- Non-melanin pigmentation caused by drug
- Non-melanin pigmentation caused by exogenous substance
- Occupational non-melanin pigmentation due to exogenous substance
- Occupational tattoo
- Ochronosis caused by hydroquinone
- Oral pigmentary incontinence
- Orthostatic intolerance
- Pigmentation due to topically applied medicament
- Pigmentation caused by diet
- Pigmentation disorder of lip
- Pigmentation due to exogenous pigment
- Pigmentation of palmar creases
- Pigmentation of skin or mucosa
- Pigmented peribuccal erythrosis of Brocq
- Pityriasis rotunda
- Postinflammatory skin pigmentation change
- Postural orthostatic tachycardia syndrome
- Professional tattoo
- Pseudoatrophoderma colli
- Reticulate acropigmentation of Kitamura
- Schistosomal pigment deposition
- Segmental pigmentation disorder
- Skin disease caused by arsenic
- Skin hypopigmented
- Skin pigmentation
- Skin pigmentation due to hemosiderosis
- Tattoo of skin
- Tattoo of skin of left cheek
- Tattoo of skin of perioral region of face
- Tattoo of skin of right cheek
- Terra firma-forme dermatosis
- Toxicoderma
- X-linked reticulate pigmentary disorder with systemic manifestation syndrome
- Zosteriform reticulate hyperpigmentation
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to L81.8: its own notes plus those printed at L81 and Chapter 12. A note printed at a category, block or chapter applies to every code under it.
Applicable To
Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.
- Iron pigmentation
- Tattoo pigmentation
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
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.
- nevus - see Alphabetical Index
- 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.
Arsenical pigmentation L81.8
Disorder (of) See Also: Disease;
iron L81.8
specified NEC L81.8
pigmentation L81.8
Tattoo (mark) L81.8
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Skin Pigmentation Disorders
Pigmentation means coloring. Skin pigmentation disorders affect the color of your skin. Your skin gets its color from a pigment called melanin. Special cells in the skin make melanin. When these cells become damaged or unhealthy, it affects melanin production. Some pigmentation disorders affect just patches of skin.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert L81.8 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About L81.8Overview
What is the ICD-10 code for other specified disorders of pigmentation?
The ICD-10-CM code for other specified disorders of pigmentation is L81.8 (sometimes written as L818). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is L81.8 (Other disorders of pigmentation) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other specified disorders of pigmentation on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does L81.8 group to?
When other specified disorders of pigmentation is the principal diagnosis on an inpatient stay, it groups to MS-DRG 795, 607, 606, with relative weights from 0.2022 to 1.5721 depending on complications. Higher weights mean higher Medicare reimbursement.
Can L81.8 be reported with Q82.5?
Not as a rule. The Excludes1 note at L81, which applies to L81.8, lists "birthmark NOS (Q82.5)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
What is the ICD-9 equivalent of L81.8?
Under the General Equivalence Mappings, other specified disorders of pigmentation converts to ICD-9-CM 709.09 (other dyschromia). The mapping is approximate, so confirm the match fits the documentation.
