ICDcodes.org
FY2027

L86Keratoderma in diseases classified elsewhere

Billable

Is L86 billable?

Yes — L86 is billable for FY2027. L86 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. L86 may be submitted for encounters from October 1, 2026 through September 30, 2027.

L86 at a glance

CodeL86
DescriptionKeratoderma in diseases classified elsewhere
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

What Medicare edits apply to L86?

The Medicare Code Editor screens inpatient claims before they are grouped. These edits name L86 directly.

Manifestation code — never sequenced first — MCE edit 6

This code describes a manifestation of an underlying disease. The underlying condition must be sequenced before it, so it can never be the principal or first-listed diagnosis.

Which MS-DRGs does L86 group to?

L86 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.

  • 606Minor Skin Disorders with MCCmedical
  • 607Minor Skin Disorders without MCCmedical

How is L86 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to L86. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Keratoderma, keratodermiaacquiredin diseases classified elsewhere (congenital) (palmaris et plantaris) (symmetrical)

Excludes1 — never code together

The conditions below can never be reported together with L86 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • gonococcal keratoderma (A54.89)
  • gonococcal keratosis (A54.89)
  • keratoderma due to vitamin A deficiency (E50.8)
  • keratosis due to vitamin A deficiency (E50.8)
  • xeroderma due to vitamin A deficiency (E50.8)

Code first

The underlying condition below must be sequenced before L86. L86 describes a manifestation and cannot be the principal or first-listed diagnosis.

  • underlying disease, such as:
  • Reiter's disease (M02.3-)

Excludes2 — not included here — inherited from Chapter 12

The conditions below are not part of L86, but a patient may have both at the same time. When documentation supports it, L86 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 L86 existed?

L86 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.

Which codes are confused with L86?

ICD-10-CM declares these codes mutually exclusive with L86 — exactly one of each pair can be correct for a given encounter.

Which conditions are coded to L86?