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

ICD-10 L13.0

Billable / Specific

Dermatitis herpetiformis

L13
Block
2
Synonyms
29
LCDs
3
Payer Policies
2
Linked CPTs

About ICD-10-CM L13.0

ICD-10-CM code L13.0 represents Dermatitis herpetiformis. This is a billable/specific code in the Skin and Subcutaneous Tissue chapter (block L13). The 2026 edition of ICD-10-CM L13.0 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under L13.0. Per CMS ICD-10-CM Tabular 2026.

  • Duhring's disease
  • Hydroa herpetiformis

Type 1 Excludes

Pure excludes, these codes can never be coded together with L13.0. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • juvenile dermatitis herpetiformis (L12.2)
  • senile dermatitis herpetiformis (L12.0)

Medicare LCD Coverage for L13.0

Local Coverage Determinations (LCDs) from CMS MACs that list L13.0 as a covered diagnosis.

29 LCDs

Showing top 10 of 29 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43246 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43243 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43235 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43250 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43236 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43247 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43249 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43254 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43245 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43244 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing L13.0.

3 policies

3 Medicare

Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Policy ID: ART-57063
Billing and Coding: Off-label Use of Rituximab and Rituximab Biosimilars
Policy ID: ART-59101
Billing and Coding: Off-label Use of Rituximab and Rituximab Biosimilars
Policy ID: ART-60186

CPT Codes Commonly Billed with L13.0

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

2 linkages
  • 11102 Tangential skin biopsy — uncertain neoplasm skin, actinic keratosis, melanocytic nevi, skin cancer, melanoma, psoriasis, discoid lupus, skin disorder, rash, seborrheic keratosis, benign neoplasm, dermatitis, prurigo, dermatitis herpetiformis Dermatology
  • 11104 Punch biopsy skin — uncertain skin neoplasm, skin cancer, melanoma, nevi, psoriasis, lupus, connective tissue disorder, pemphigus, bullous pemphigoid Dermatology

Convert L13.0 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
L13.0 6940 00000

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

ICD-10 L13.0, Billing FAQ

Is ICD-10 code L13.0 billable? +

Yes, L13.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to L13.0? +

ICD-10 L13.0 includes: Duhring's disease; Hydroa herpetiformis.

What codes are Type 1 Excludes for L13.0? +

Type 1 Excludes (never code together with L13.0): juvenile dermatitis herpetiformis (L12.2); senile dermatitis herpetiformis (L12.0)

What CPT codes are commonly billed with L13.0? +

Procedures frequently paired with L13.0 include: 11102, 11104.

What ICD-9 codes does L13.0 map to? +

Per CMS GEMs, L13.0 maps to ICD-9 codes: 6940. 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 July 16, 2026.

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