2027 ICD-10-CM Diagnosis Code R23.8Other skin changes
ICD-10-CM Codes›R00–R99›R20-R23›R23
- Billable — Valid for Submission
- Not Chronic
R23.8 is a billable ICD-10-CM diagnosis code for other skin changes. 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. As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Skin/Subcutaneous signs and symptoms.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Abdominal skin ptosis
- Abnormal complexion
- Abnormal epidermopoiesis
- Abnormal foot color
- Abnormal sebaceous gland activity
- Abnormal skin pH
- Absent sebaceous gland activity
- Acute edema blisters
- Age-related skin fragility
- Application site blister
- Application site irritation
- Application site reaction
- Asymmetrical thigh creases
- Auspitz's sign
- Blanching of periwound skin
- Blanching of skin
- Blanching of skin of foot on elevation
- Blister
- Blister at injection site
- Blister of periwound skin
- Blister of skin
- Blisters of multiple sites
- Blue skin
- Boggy periwound skin
- Buttock crease asymmetrical
- Chapped skin
- Cold extremity
- Cold skin
- Cold skin over lesion
- Complexion changes
- Complexion finding
- Conspicuous skin donor site
- Contact sensitivity response - finding
- Cool skin
- Crust on skin
- Crusting of pigmented skin lesion
- Cullen's sign positive
- Cutis marmorata
- Darier sign
- Decreased epidermopoiesis
- Decreased percutaneous penetration
- Decreased sebaceous gland activity
- Decreased skin pH
- Decreased skin temperature
- Decreased skin turgor
- Decreased stratum corneum adhesiveness
- Decreased stratum corneum water-binding capacity
- Delayed healing of skin donor site
- Delayed healing of surgical wound
- Delayed healing of wound
- Deposition of gunshot residue on skin caused by firearm
- Different skin color in opposite limb
- Discoloration of skin
- Dry periwound skin
- Dry skin of abdomen
- Dusky discoloration of skin
- Excess skin of abdominal wall
- Excess skin of thigh
- Finding of appearance of hand
- Finding of color of foot
- Finding of consistency of skin
- Finding of integrity of skin
- Finding of measures of skin
- Finding of skin healing
- Finding of skin hygiene
- Finding of skin of abdominal wall
- Foot dusky pink when dependent
- Fragile skin
- Full thickness skin and subcutaneous tissue loss
- Full thickness skin loss
- Granulation of tissue
- Gray skin
- Greasy skin
- Greasy skin due to excessive secretion of sebum
- Grey Turner's sign positive
- Grimy, work-stained hands
- Hair tuft in skin of sacral region
- Hand print mark
- Hard skin
- Hot skin
- Hot skin over lesion
- Impaired skin integrity
- Impaired tissue integrity
- Impaired wound healing
- Increased epidermopoiesis
- Increased percutaneous penetration
- Increased sebaceous gland activity
- Increased skin pH
- Increased skin temperature
- Increased stratum corneum adhesiveness
- Increased stratum corneum water-binding capacity
- Infected blisters of multiple sites
- Inflammation of periwound skin
- Injection site indentation
- Livedo racemosa
- Localized loss of body fat
- Loose skin folds, abdominal wall
- Loss of abdominal skin turgor
- Loss of subcutaneous fat
- Loss of subcutaneous fat overlying rib
- Lower leg skin pigmentation
- Macerated perianal skin
- Macerated skin
- Macule of skin
- Moist periwound skin
- Mottling
- Mottling of skin
- Mucosal vesicle
- Mucous membrane dryness
- Mucous membrane hyperplasia
- Named sign of skin
- Nicotine staining of finger
- Nikolsky sign
- Nontraumatic blister of skin
- Observation of appearance of stoma
- Observation of skin surrounding stoma
- Omega sign
- Painful and cold upper limb
- Papular reaction
- Papule of skin
- Partial thickness skin loss
- Physiological cutis marmorata
- Pigmentation of fingers
- Pigmentation of skin or mucosa
- Piloerection
- Pimple of skin
- Pink skin
- Puffiness of skin
- Pus crust on skin
- Redness of skin of face
- Redness of skin over lesion
- Rope sign
- Rubbery subcutaneous tissue
- Rupture of periwound skin
- Sallow complexion
- Scab of skin
- Scratch marks
- Serous bulla of skin
- Serum crust on skin
- Shawl sign
- Shiny skin
- Shiny skin over lesion
- Shoe mark
- Skin color poor
- Skin constricture
- Skin crease dirty
- Skin deposits
- Skin dimple
- Skin dirty
- Skin discharge
- Skin drag
- Skin elasticity - finding
- Skin loss exposing bone
- Skin loss exposing muscle
- Skin loss exposing muscle or bone
- Skin marbling
- Skin pigmentation
- Skin reaction - finding
- Skin reaction irritant
- Skin reaction weak
- Skin rolling
- Skin surrounding stoma red
- Staining of skin
- Stemmer sign
- Stemmer sign positive
- Stippling of skin
- Stretched abdominal wall skin
- Stretched excess skin of face
- Stretched skin
- Surgical incision wound of skin
- Thickened nails
- Thickness of nail - finding
- Toenail thickened
- Uremic frost
- V sign
- Veraguth's folds
- Vesicle of skin
- Vesicular eruption
- Vesicular skin eruptions of the temporal region
- Warm skin
- Warm skin over lesion
- White discoloration of skin
- Wickham striae
- Yellow or jaundiced color
- Yellow skin
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to R23.8: its own notes plus those printed at block R20-R23 and Chapter 18. 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.
Notes
General instructions on how these codes are used.
- This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
- Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
- The conditions and signs or symptoms included in categories R00-R94 consist of:
- (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
- (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
- (c) provisional diagnosis in a patient who failed to return for further investigation or care;
- (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
- (e) cases in which a more precise diagnosis was not available for any other reason;
- (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name R23.8, its category, or a range that includes it.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Bleb (s) R23.8
Bulla (e) R23.8
Change (s) (in) (of) See Also: Removal;
specified change NEC R23.8
Hydroa R23.8
Papule (s) R23.8
Pimple R23.8
Xanthosis R23.8
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Blister
visible accumulations of fluid within or beneath the epidermis.
Patient EducationClinical
Skin Conditions
Your skin is your body's largest organ. It covers the entire outside of your body. There are many ways that your skin protects your body and helps keep you healthy. For example, it:
The full article covers:
- What does your skin do?
- What problems and conditions can affect your skin?
- How can I keep my skin healthy?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert R23.8 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About R23.8Overview
What is the ICD-10 code for other skin changes?
The ICD-10-CM code for other skin changes is R23.8 (sometimes written as R238). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is R23.8 (Other skin changes) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other skin changes on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does R23.8 group to?
When other skin changes is the principal diagnosis on an inpatient stay, it groups to MS-DRG 607, 606, with relative weights from 0.8772 to 1.5721 depending on complications. Higher weights mean higher Medicare reimbursement.
Can R23.8 be a principal diagnosis?
Use it with care. This is a symptom code, so once a definitive diagnosis explaining the other skin changes is established, that condition takes the principal position instead.
What is the ICD-9 equivalent of R23.8?
Under the General Equivalence Mappings, other skin changes converts to ICD-9-CM 782.9 (integument tiss symp NEC). The mapping is approximate, so confirm the match fits the documentation.
