L10.9 — Pemphigus, unspecified
Is L10.9 billable?
Yes, but L10.9 is an unspecified code. L10.9 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, L10.9 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting L10.9 — the more specific alternatives are listed below.
L10.9 at a glance
| Code | L10.9 |
|---|---|
| Description | Pemphigus, unspecified |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does L10.9 group to?
L10.9 sits in MDC 09 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 595Major Skin Disorders with MCCmedical
- 596Major Skin Disorders without MCCmedical
As a secondary diagnosis, L10.9 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is L10.9 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to L10.9. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Pemphigus
Excludes1 — never code together — inherited from L10-L14
The conditions below can never be reported together with L10.9 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes1 — never code together — inherited from L10
The conditions below can never be reported together with L10.9 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- pemphigus neonatorum (L01.03)
Excludes2 — not included here — inherited from Chapter 12
The conditions below are not part of L10.9, but a patient may have both at the same time. When documentation supports it, L10.9 and the excluded code may both be reported.
- 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.-)
How long has L10.9 existed?
L10.9 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.