ICD-10 L88
Billable / Specific CCPyoderma gangrenosum
About ICD-10-CM L88
ICD-10-CM code L88 represents Pyoderma gangrenosum. This is a billable/specific code in the Skin and Subcutaneous Tissue chapter (block L88). The 2026 edition of ICD-10-CM L88 became effective on October 1, 2025.
Coding Tips for L88
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
L88 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under L88. Per CMS ICD-10-CM Tabular 2026.
- Phagedenic pyoderma
Type 1 Excludes
Pure excludes, these codes can never be coded together with L88. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- dermatitis gangrenosa (L08.0)
Inpatient DRG Impact, CC
codes Pyoderma gangrenosum. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.
Medicare LCD Coverage for L88
Local Coverage Determinations (LCDs) from CMS MACs that list L88 as a covered diagnosis.
Showing top 10 of 60 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing L88.
4 Medicare
CPT Codes Commonly Billed with L88
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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 L88 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| L88 | 68601 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To L88
Other codes in section L80-L99 (Other disorders of the skin and subcutaneous tissue).
ICD-10 L88, Billing FAQ
Is ICD-10 code L88 billable? +
Yes, L88 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 L88? +
ICD-10 L88 includes: Phagedenic pyoderma.
What codes are Type 1 Excludes for L88? +
Type 1 Excludes (never code together with L88): dermatitis gangrenosa (L08.0)
Is L88 a CC or MCC for inpatient DRG? +
Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.
What ICD-9 codes does L88 map to? +
Per CMS GEMs, L88 maps to ICD-9 codes: 68601. 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 June 2, 2026.
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