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

ICD-10 L50.0

Billable / Specific

Allergic urticaria

L50
Block
0
Synonyms
178
LCDs
13
Payer Policies
4
Linked CPTs

About ICD-10-CM L50.0

ICD-10-CM code L50.0 represents Allergic urticaria. This is a billable/specific code in the Skin and Subcutaneous Tissue chapter (block L50). The 2026 edition of ICD-10-CM L50.0 became effective on October 1, 2025.

Medicare LCD Coverage for L50.0

Local Coverage Determinations (LCDs) from CMS MACs that list L50.0 as a covered diagnosis.

178 LCDs

Showing top 10 of 178 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95056 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95004 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95027 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 82785 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95076 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95024 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95070 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95028 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95017 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 86003 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing L50.0.

13 policies

1 Aetna

Allergy and Hypersensitivity - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0038

5 Medicare

Billing and Coding: Allergy Testing
Policy ID: ART-56558
Billing and Coding: Allergy Skin Testing
Policy ID: ART-56559
Billing and Coding: RAST Type Tests
Policy ID: ART-56844
Billing and Coding: RAST Type Tests
Policy ID: ART-57043
Billing and Coding: Allergy Testing
Policy ID: ART-57181

CPT Codes Commonly Billed with L50.0

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

4 linkages
  • 95004 Allergy skin prick testing — allergic rhinitis, pollen allergy, animal allergy, food allergy, asthma, atopic dermatitis, anaphylaxis, urticaria, allergic contact dermatitis, allergic gastroenteritis Allergy
  • 86003 CMS LCD: Billing and Coding: RAST Type Tests CMS LCD
  • 86001 CMS LCD: Billing and Coding: RAST Type Tests CMS LCD
  • 86005 CMS LCD: Billing and Coding: RAST Type Tests CMS LCD

Convert L50.0 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
L50.0 7080 00000

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

ICD-10 L50.0, Billing FAQ

Is ICD-10 code L50.0 billable? +

Yes, L50.0 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 L50.0? +

Procedures frequently paired with L50.0 include: 95004, 86003, 86001, 86005.

What ICD-9 codes does L50.0 map to? +

Per CMS GEMs, L50.0 maps to ICD-9 codes: 7080. 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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