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

ICD-10 L53.9

Billable / Specific

Erythematous condition, unspecified

L53
Block
2
Synonyms
54
LCDs
4
Payer Policies
0
Linked CPTs

About ICD-10-CM L53.9

ICD-10-CM code L53.9 represents Erythematous condition, unspecified. This is a billable/specific code in the Skin and Subcutaneous Tissue chapter (block L53). The 2026 edition of ICD-10-CM L53.9 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under L53.9. Per CMS ICD-10-CM Tabular 2026.

  • Erythema NOS
  • Erythroderma NOS

Medicare LCD Coverage for L53.9

Local Coverage Determinations (LCDs) from CMS MACs that list L53.9 as a covered diagnosis.

54 LCDs

Showing top 10 of 54 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 88189 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 86360 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 86361 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 88187 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 86363 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 86359 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 86356 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 88188 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 88184 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 88185 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing L53.9.

4 policies

3 Medicare

Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
Policy ID: ART-57161
Billing and Coding: Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies
Policy ID: ART-57594
Billing and Coding: Lab: Flow Cytometry
Policy ID: ART-57689

1 Aetna

Rosacea
Policy ID: CPB-0547

CPT Codes Commonly Billed with L53.9

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

No procedure linkages on file for L53.9

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 L53.9 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
L53.9 6959 00000

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

ICD-10 L53.9, Billing FAQ

Is ICD-10 code L53.9 billable? +

Yes, L53.9 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 L53.9? +

ICD-10 L53.9 includes: Erythema NOS; Erythroderma NOS.

What ICD-9 codes does L53.9 map to? +

Per CMS GEMs, L53.9 maps to ICD-9 codes: 6959. 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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