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

ICD-10 L40.0

Billable / Specific

Psoriasis vulgaris

L40
Block
2
Synonyms
44
LCDs
17
Payer Policies
8
Linked CPTs

About ICD-10-CM L40.0

ICD-10-CM code L40.0 represents Psoriasis vulgaris. This is a billable/specific code in the Skin and Subcutaneous Tissue chapter (block L40). The 2026 edition of ICD-10-CM L40.0 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under L40.0. Per CMS ICD-10-CM Tabular 2026.

  • Nummular psoriasis
  • Plaque psoriasis

Medicare LCD Coverage for L40.0

Local Coverage Determinations (LCDs) from CMS MACs that list L40.0 as a covered diagnosis.

44 LCDs

Showing top 10 of 44 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Vitamin D Assay Testing
Article ID: 57736, Effective: 2024-10-01 00:00:00, 553 covered, 0 non-covered
CPT 82652 →
CMS LCD: Billing and Coding: Vitamin D Assay Testing
Article ID: 57736, Effective: 2024-10-01 00:00:00, 553 covered, 0 non-covered
CPT 82306 →
CMS LCD: Billing and Coding: Vitamin D; 25 hydroxy, includes fraction(s), if performed
Article ID: 56841, Effective: 2023-10-01 00:00:00, 759 covered, 1 non-covered
CPT 82306 →
CMS LCD: Billing and Coding: Infliximab
Article ID: 56432, Effective: 2026-01-01 00:00:00, 406 covered, 0 non-covered
CPT J1745 →
CMS LCD: Billing and Coding: Infliximab
Article ID: 56432, Effective: 2026-01-01 00:00:00, 406 covered, 0 non-covered
CPT Q5103 →
CMS LCD: Billing and Coding: Infliximab
Article ID: 56432, Effective: 2026-01-01 00:00:00, 406 covered, 0 non-covered
CPT Q5121 →
CMS LCD: Billing and Coding: Infliximab
Article ID: 56432, Effective: 2026-01-01 00:00:00, 406 covered, 0 non-covered
CPT Q5104 →
CMS LCD: Billing and Coding: Surgical Treatment of Nails
Article ID: 57666, Effective: 2026-01-01 00:00:00, 392 covered, 1 non-covered
CPT 11750 →
CMS LCD: Billing and Coding: Surgical Treatment of Nails
Article ID: 57666, Effective: 2026-01-01 00:00:00, 392 covered, 1 non-covered
CPT 11765 →
CMS LCD: Billing and Coding: Surgical Treatment of Nails
Article ID: 57666, Effective: 2026-01-01 00:00:00, 392 covered, 1 non-covered
CPT 11730 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing L40.0.

17 policies

5 Medicare

Billing and Coding: Infliximab and biosimilars
Policy ID: ART-52423
Billing and Coding: Surgical Treatment of Nails
Policy ID: ART-52998
Billing and Coding: Chemotherapy Agents for Non-Oncologic Conditions
Policy ID: ART-55639
Billing and Coding: Assays for Vitamins and Metabolic Function
Policy ID: ART-56416
Billing and Coding: Infliximab
Policy ID: ART-56432

5 Aetna

Phototherapy and Photochemotherapy (PUVA) for Skin Conditions
Policy ID: CPB-0205
Infliximab
Policy ID: CPB-0341
Tuberculosis Testing
Policy ID: CPB-0471
Laser Treatment for Psoriasis and Other Selected Skin Conditions
Policy ID: CPB-0577
Adalimumab
Policy ID: CPB-0655

CPT Codes Commonly Billed with L40.0

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

8 linkages
  • 99204 New patient office visit — multiple chronic conditions: HTN, T2DM, hyperlipidemia, asthma, anxiety, depression, obesity, IBS, COPD, thyroid, anemia, CAD, sleep apnea, psoriasis, RA Primary Care
  • 99214 Established patient — moderate complexity: uncontrolled HTN, diabetes with complications, multiple chronic conditions, COPD, AFib, CKD, sleep apnea, chronic pain, depression Primary Care
  • 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
  • 96910 Phototherapy UVB — psoriasis, guttate psoriasis, psoriasis unspecified, atopic dermatitis, prurigo, dermatitis, lichen planus Dermatology
  • 11732 CMS LCD: Billing and Coding: Surgical Treatment of Nails CMS LCD
  • 11765 CMS LCD: Billing and Coding: Surgical Treatment of Nails CMS LCD
  • 11750 CMS LCD: Billing and Coding: Surgical Treatment of Nails CMS LCD

Convert L40.0 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
L40.0 6961 10000

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

ICD-10 L40.0, Billing FAQ

Is ICD-10 code L40.0 billable? +

Yes, L40.0 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 L40.0? +

ICD-10 L40.0 includes: Nummular psoriasis; Plaque psoriasis.

What CPT codes are commonly billed with L40.0? +

Procedures frequently paired with L40.0 include: 99204, 99214, 11102, 11104, 96910.

What ICD-9 codes does L40.0 map to? +

Per CMS GEMs, L40.0 maps to ICD-9 codes: 6961. 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 June 1, 2026.

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