Code First Notes in Chapter 12: Diseases of the skin and subcutaneous tissue ICD-10-CM
A Code First note means the underlying condition named in the note is sequenced before this code. In Chapter 12 (L00-L99), notes printed in the chapter name other codes 41 times, and Code First Notes anywhere in the Tabular List name the chapter’s codes 13 times, covering 11 distinct codes, categories and ranges. Switch views to read the list either way.
Code First Notes by the code that carries the note
- L49 Exfoliation due to erythematous conditions according to extent of body surface involved applies to 10 codes
- L53.0 Toxic erythema
- L62 Nail disorders in diseases classified elsewhere
- pachydermoperiostosis (M89.4-)
- L86 Keratoderma in diseases classified elsewhere
- Reiter's disease (M02.3-)
- any associated gangrene (I96)
- any associated gangrene (I96)
- atherosclerosis of the lower extremities (I70.23-, I70.24-, I70.33-, I70.34-, I70.43-, I70.44-, I70.53-, I70.54-, I70.63-, I70.64-, I70.73-, I70.74-)
- chronic venous hypertension (I87.31-, I87.33-)
- diabetic ulcers (E08.621, E08.622, E09.621, E09.622, E10.621, E10.622, E11.621, E11.622, E13.621, E13.622)
- postphlebitic syndrome (I87.01-, I87.03-)
- postthrombotic syndrome (I87.01-, I87.03-)
- varicose ulcer (I83.0-, I83.2-)
- L99 Other disorders of skin and subcutaneous tissue in diseases classified elsewhere
- amyloidosis (E85.-)
- L00 Staphylococcal scalded skin syndrome
- H62.4 Otitis externa in other diseases classified elsewhere: impetigo (L01.0-)
- F54 Psychological and behavioral factors associated with disorders or diseases classified elsewhere: dermatitis (L23-L25)
- Block T36-T50 Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances: contact dermatitis (L23-L25)
- Block T36-T50 Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances: dermatitis due to substances taken internally (L27.-)
- F54 Psychological and behavioral factors associated with disorders or diseases classified elsewhere: urticaria (L50.-)
- L51.1 Stevens-Johnson syndrome
- L49 Exfoliation due to erythematous conditions according to extent of body surface involved: Stevens-Johnson syndrome (L51.1)
- L51.2 Toxic epidermal necrolysis [Lyell]
- L49 Exfoliation due to erythematous conditions according to extent of body surface involved: Toxic epidermal necrolysis (L51.2)
- L51.3 Stevens-Johnson syndrome-toxic epidermal necrolysis overlap syndrome
- L49 Exfoliation due to erythematous conditions according to extent of body surface involved: Stevens-Johnson syndrome-toxic epidermal necrolysis overlap syndrome (L51.3)
- M14.8 Arthropathies in other specified diseases classified elsewhere: erythema multiforme (L51.-)
- L52 Erythema nodosum
- M14.8 Arthropathies in other specified diseases classified elsewhere: erythema nodosum (L52)
- H10.82 Rosacea conjunctivitis: underlying rosacea dermatitis (L71.-)
The first view lists notes printed in this chapter (a note on a category or block applies to every code beneath it). The second lists codes of this chapter named by Code First Notes anywhere in the Tabular List, including notes in other chapters.
Questions About Code First Notes
What does a Code First note mean?
A Code First note means the underlying condition named in the note is sequenced before the code that carries the note. Under the etiology/manifestation convention, a “code first” note appears at the manifestation code and a “use additional code” note at the etiology code (Section I.A.13). The FY 2027 Tabular List has 810 of them; 600 name other codes, with 736 references to 429 distinct codes, categories and ranges.
Can a code with a Code First note be the principal diagnosis?
Not when it is a manifestation code. Codes titled “in diseases classified elsewhere” are never permitted as the first-listed or principal diagnosis; they must follow the underlying condition. The etiology and manifestation page lists them all.
Related References
Source: FY 2027 ICD-10-CM Tabular List (CMS and NCHS) and the ICD-10-CM Official Guidelines for Coding and Reporting FY 2027, Section I.A. ICD List is not affiliated with CMS or NCHS.