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

Use Additional Code Notes in Chapter 12: Diseases of the skin and subcutaneous tissue ICD-10-CM

A Use Additional Code note means a second code should be added, after this one, to fully describe the condition. In Chapter 12 (L00-L99), notes printed in the chapter name other codes 40 times, and Use Additional Code Notes anywhere in the Tabular List name the chapter’s codes 75 times, covering 17 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
40
References in Its Notes
75
References to Its Codes
17
Chapter Codes Named
L00-L99
Chapter 12
Chapter 12

Use Additional Code Notes by the code that carries the note

25 of 25 shown
  • Block note Block L00-L08 Infections of the skin and subcutaneous tissue applies to 159 codes
    • code (B95-B97) to identify infectious agent.
  • L00 Staphylococcal scalded skin syndrome
    • code to identify percentage of skin exfoliation (L49.-)
  • L02 Cutaneous abscess, furuncle and carbuncle applies to 81 codes
    • code to identify organism (B95-B96)
  • L10.5 Drug-induced pemphigus
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
  • L12.31 Epidermolysis bullosa due to drug
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
  • L23.3 Allergic contact dermatitis due to drugs in contact with skin
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
  • L24.4 Irritant contact dermatitis due to drugs in contact with skin
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
  • L24.B Irritant contact dermatitis related to stoma or fistula applies to 4 codes
    • code to identify any artificial opening status (Z93.-), if applicable, for contact dermatitis related to stoma secretions
  • L25.1 Unspecified contact dermatitis due to drugs in contact with skin
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
  • L27.0 Generalized skin eruption due to drugs and medicaments taken internally
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
  • L27.1 Localized skin eruption due to drugs and medicaments taken internally
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
  • L29.81 Cholestatic pruritus
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
  • L43.2 Lichenoid drug reaction
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
  • L51 Erythema multiforme applies to 6 codes
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
    • arthropathy associated with dermatological disorders (M14.8-)
    • conjunctival edema (H11.42)
    • conjunctivitis (H10.22-)
    • corneal scars and opacities (H17.-)
    • corneal ulcer (H16.0-)
    • edema of eyelid (H02.84-)
    • inflammation of eyelid (H01.8-)
    • keratoconjunctivitis sicca (H16.22-)
    • mechanical lagophthalmos (H02.22-)
    • stomatitis (K12.-)
    • symblepharon (H11.23-)
    • code to identify percentage of skin exfoliation (L49.-)
  • L53.0 Toxic erythema
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
  • L56 Other acute skin changes due to ultraviolet radiation applies to 8 codes
    • code to identify the source of the ultraviolet radiation (W89, X32)
  • L56.0 Drug phototoxic response
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
  • L56.1 Drug photoallergic response
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
  • L57 Skin changes due to chronic exposure to nonionizing radiation applies to 8 codes
    • code to identify the source of the ultraviolet radiation (W89), or other nonionizing radiation (W90)
  • L58 Radiodermatitis applies to 3 codes
    • code to identify the source of the radiation (W88, W90)
  • L64.0 Drug-induced androgenic alopecia
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
  • L65 Other nonscarring hair loss applies to 5 codes
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
  • L71 Rosacea applies to 4 codes
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
  • L92.3 Foreign body granuloma of the skin and subcutaneous tissue
    • code to identify the type of retained foreign body (Z18.-)
  • L93 Lupus erythematosus applies to 3 codes
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

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 Use Additional Code Notes anywhere in the Tabular List, including notes in other chapters.

Questions About Use Additional Code Notes

What does a Use Additional Code note mean?

A Use Additional Code note tells you to add a second code, reported after the code that carries the note, to describe the condition completely. In an etiology/manifestation pair it sits at the etiology code and points to the manifestation (Section I.A.13). The FY 2027 Tabular List has 1,491 of them; 1,174 name other codes, with 1,438 references to 389 distinct codes, categories and ranges.

Where does the additional code go?

After the code carrying the note. For etiology/manifestation pairs the Guidelines are explicit: the etiology is sequenced first, followed by the manifestation code.

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.