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

ICD-10 L40.4

Billable / Specific

Guttate psoriasis

L40
Block
0
Synonyms
44
LCDs
11
Payer Policies
4
Linked CPTs

About ICD-10-CM L40.4

ICD-10-CM code L40.4 represents Guttate psoriasis. This is a billable/specific code in the Skin and Subcutaneous Tissue chapter (block L40). The 2026 edition of ICD-10-CM L40.4 became effective on October 1, 2025.

Medicare LCD Coverage for L40.4

Local Coverage Determinations (LCDs) from CMS MACs that list L40.4 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 L40.4.

11 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

CPT Codes Commonly Billed with L40.4

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

4 linkages
  • 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 L40.4 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
L40.4 6961 10000

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

ICD-10 L40.4, Billing FAQ

Is ICD-10 code L40.4 billable? +

Yes, L40.4 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with L40.4? +

Procedures frequently paired with L40.4 include: 96910, 11732, 11765, 11750.

What ICD-9 codes does L40.4 map to? +

Per CMS GEMs, L40.4 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 May 31, 2026.

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