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

ICD-10 L56.4

Billable / Specific

Polymorphous light eruption

L56
Block
0
Synonyms
114
LCDs
8
Payer Policies
0
Linked CPTs

About ICD-10-CM L56.4

ICD-10-CM code L56.4 represents Polymorphous light eruption. This is a billable/specific code in the Skin and Subcutaneous Tissue chapter (block L56). The 2026 edition of ICD-10-CM L56.4 became effective on October 1, 2025.

Medicare LCD Coverage for L56.4

Local Coverage Determinations (LCDs) from CMS MACs that list L56.4 as a covered diagnosis.

114 LCDs

Showing top 10 of 114 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 L56.4.

8 policies

5 Medicare

Billing and Coding: Debridement Services
Policy ID: ART-56459
Billing and Coding: Allergy Testing
Policy ID: ART-57181
Billing and Coding: Allergy Diagnostic Testing
Policy ID: ART-60360
Billing and Coding: Allergy Diagnostic Testing
Policy ID: ART-60363
Billing and Coding: Allergy Diagnostic Testing
Policy ID: ART-60374

1 Aetna

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

CPT Codes Commonly Billed with L56.4

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

No procedure linkages on file for L56.4

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 L56.4 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
L56.4 69282 10000

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

ICD-10 L56.4, Billing FAQ

Is ICD-10 code L56.4 billable? +

Yes, L56.4 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does L56.4 map to? +

Per CMS GEMs, L56.4 maps to ICD-9 codes: 69282. 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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