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

ICD-10 L50

Non-Billable Header

Urticaria

L50
Block
0
Synonyms
0
LCDs
0
Payer Policies
0
Linked CPTs

About ICD-10-CM L50

ICD-10-CM code L50 represents Urticaria. This is a non-billable header code in the Skin and Subcutaneous Tissue chapter (block L50). The 2026 edition of ICD-10-CM L50 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.

Type 1 Excludes

Pure excludes, these codes can never be coded together with L50. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • allergic contact dermatitis (L23.-)
  • angioneurotic edema (T78.3)
  • giant urticaria (T78.3)
  • hereditary angio-edema (D84.1)
  • Quincke's edema (T78.3)
  • serum urticaria (T80.6-)
  • solar urticaria (L56.3)
  • urticaria neonatorum (P83.8)
  • urticaria papulosa (L28.2)
  • urticaria pigmentosa (D47.01)

Medicare LCD Coverage for L50

Local Coverage Determinations (LCDs) from CMS MACs that list L50 as a covered diagnosis.

No Medicare LCDs reference L50 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 L50.

No commercial payer policies reference L50 on file

Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but L50 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.

CPT Codes Commonly Billed with L50

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

No procedure linkages on file for L50

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.

ICD-10 L50, Billing FAQ

Is ICD-10 code L50 billable? +

No, L50 is a non-billable header code. Use a more specific child code from block L50 when submitting claims.

What codes are Type 1 Excludes for L50? +

Type 1 Excludes (never code together with L50): allergic contact dermatitis (L23.-); angioneurotic edema (T78.3); giant urticaria (T78.3)

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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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