PAYER READY CREDENTIALING & COMPLIANCE
ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 L43.0

Billable / Specific

Hypertrophic lichen planus

L43
Block
0
Synonyms
12
LCDs
4
Payer Policies
3
Linked CPTs

About ICD-10-CM L43.0

ICD-10-CM code L43.0 represents Hypertrophic lichen planus. This is a billable/specific code in the Skin and Subcutaneous Tissue chapter (block L43). The 2026 edition of ICD-10-CM L43.0 became effective on October 1, 2025.

Medicare LCD Coverage for L43.0

Local Coverage Determinations (LCDs) from CMS MACs that list L43.0 as a covered diagnosis.

12 LCDs

Showing top 10 of 12 total . Click a CPT for full coverage scope.

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 →
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 11732 →
CMS LCD: Billing and Coding: Surgical Treatment of Nails
Article ID: 59028, Effective: 2026-01-01 00:00:00, 392 covered, 0 non-covered
CPT 11750 →
CMS LCD: Billing and Coding: Surgical Treatment of Nails
Article ID: 59028, Effective: 2026-01-01 00:00:00, 392 covered, 0 non-covered
CPT 11765 →
CMS LCD: Billing and Coding: Surgical Treatment of Nails
Article ID: 59028, Effective: 2026-01-01 00:00:00, 392 covered, 0 non-covered
CPT 11730 →
CMS LCD: Billing and Coding: Surgical Treatment of Nails
Article ID: 59028, Effective: 2026-01-01 00:00:00, 392 covered, 0 non-covered
CPT 11732 →
CMS LCD: Billing and Coding: Surgical Treatment of Nails
Article ID: 52998, 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: 52998, Effective: 2026-01-01 00:00:00, 392 covered, 1 non-covered
CPT 11765 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing L43.0.

4 policies

3 Medicare

Billing and Coding: Surgical Treatment of Nails
Policy ID: ART-52998
Billing and Coding: Surgical Treatment of Nails
Policy ID: ART-57666
Billing and Coding: Surgical Treatment of Nails
Policy ID: ART-59028

1 Aetna

Phototherapy and Photochemotherapy (PUVA) for Skin Conditions
Policy ID: CPB-0205

CPT Codes Commonly Billed with L43.0

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

3 linkages
  • 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 L43.0 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
L43.0 6970 10000

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

ICD-10 L43.0, Billing FAQ

Is ICD-10 code L43.0 billable? +

Yes, L43.0 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 L43.0? +

Procedures frequently paired with L43.0 include: 11732, 11765, 11750.

What ICD-9 codes does L43.0 map to? +

Per CMS GEMs, L43.0 maps to ICD-9 codes: 6970. Useful for legacy data review and historical claim analysis.

Get the full PayerReady toolkit

Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.

Start free →

Run this code through our claim audit tool

Check NCCI bundling, MUE limits, and modifier logic before submission.

Try the auditor →

Did this page help?

Quick signal so we know what to improve.

Thanks!

If you want a code reference page that doesn't exist yet, email coding@payerready.com.

Sorry to hear that.

Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.

Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 16, 2026.

Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team

Every month un-credentialed is revenue you never bill

Sign up free, add your first provider, and watch the pipeline start moving this week.

Ask CredBrain

Answers from your credentialing team's verified knowledge base

Hi, I'm CredBrain. I answer from your credentialing team's verified knowledge base: payer join paths, state rules, timelines, associate billing, and enrollment workflows. If I don't have a verified answer, I'll say so and point you to your team. What would you like to know?

Try asking