ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 F42.4

Billable / Specific

Excoriation (skin-picking) disorder

F42
Block
0
Synonyms
271
LCDs
14
Payer Policies
0
Linked CPTs

About ICD-10-CM F42.4

ICD-10-CM code F42.4 represents Excoriation (skin-picking) disorder. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F42). The 2026 edition of ICD-10-CM F42.4 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with F42.4. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • factitial dermatitis (L98.1)
  • other specified behavioral and emotional disorders with onset usually occurring in early childhood and adolescence (F98.8)

Medicare LCD Coverage for F42.4

Local Coverage Determinations (LCDs) from CMS MACs that list F42.4 as a covered diagnosis.

271 LCDs

Showing top 10 of 271 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Psychiatric Inpatient Hospitalization
Article ID: 57052, Effective: 2026-03-26 00:00:00, 422 covered, 0 non-covered
CPT XX000 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0156 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0299 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0152 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0155 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0300 →
CMS LCD: Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Article ID: 57520, Effective: 2025-01-01 00:00:00, 582 covered, 1 non-covered
CPT 90847 →
CMS LCD: Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Article ID: 57520, Effective: 2025-01-01 00:00:00, 582 covered, 1 non-covered
CPT G0560 →
CMS LCD: Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Article ID: 57520, Effective: 2025-01-01 00:00:00, 582 covered, 1 non-covered
CPT G0017 →
CMS LCD: Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Article ID: 57520, Effective: 2025-01-01 00:00:00, 582 covered, 1 non-covered
CPT 90837 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing F42.4.

14 policies

5 Medicare

Billing and Coding: Psychiatric Inpatient Hospitalization
Policy ID: ART-56614
Billing and Coding: Home Health - Psychiatric Care
Policy ID: ART-56756
Billing and Coding: Psychiatric Partial Hospitalization Programs
Policy ID: ART-56850
Billing and Coding: Psychiatry and Psychology Services
Policy ID: ART-56937
Billing and Coding: Psychiatric Inpatient Hospitalization
Policy ID: ART-57052

CPT Codes Commonly Billed with F42.4

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for F42.4

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert F42.4 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
F42.4 3063 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 F42.4, Billing FAQ

Is ICD-10 code F42.4 billable? +

Yes, F42.4 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for F42.4? +

Type 1 Excludes (never code together with F42.4): factitial dermatitis (L98.1); other specified behavioral and emotional disorders with onset usually occurring in early childhood and adolescence (F98.8)

What ICD-9 codes does F42.4 map to? +

Per CMS GEMs, F42.4 maps to ICD-9 codes: 3063. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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