ICD-10-CM Code First Notes · Chapter 12 · FY 2027 L00-L99

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.

✓ From the official FY 2027 ICD-10-CM Tabular ListDefinitions follow the Official Guidelines, Section I.A
41
References in Its Notes
13
References to Its Codes
11
Chapter Codes Named
L00-L99
Chapter 12
Chapter 12

Code First Notes by the code that carries the note

7 of 7 shown

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.