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

ICD-10 L49.0

Billable / Specific

Exfoliation due to erythematous condition involving less than 10 percent of body surface

L49
Block
1
Synonyms
0
LCDs
0
Payer Policies
0
Linked CPTs

About ICD-10-CM L49.0

ICD-10-CM code L49.0 represents Exfoliation due to erythematous condition involving less than 10 percent of body surface. This is a billable/specific code in the Skin and Subcutaneous Tissue chapter (block L49). The 2026 edition of ICD-10-CM L49.0 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under L49.0. Per CMS ICD-10-CM Tabular 2026.

  • Exfoliation due to erythematous condition NOS

Medicare LCD Coverage for L49.0

Local Coverage Determinations (LCDs) from CMS MACs that list L49.0 as a covered diagnosis.

No Medicare LCDs reference L49.0 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing L49.0.

No commercial payer policies reference L49.0 on file

Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but L49.0 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.

CPT Codes Commonly Billed with L49.0

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

No procedure linkages on file for L49.0

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 L49.0 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
L49.0 69550 00000

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

ICD-10 L49.0, Billing FAQ

Is ICD-10 code L49.0 billable? +

Yes, L49.0 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 L49.0? +

ICD-10 L49.0 includes: Exfoliation due to erythematous condition NOS.

What ICD-9 codes does L49.0 map to? +

Per CMS GEMs, L49.0 maps to ICD-9 codes: 69550. 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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