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

ICD-10 L91.0

Billable / Specific

Hypertrophic scar

L91
Block
2
Synonyms
308
LCDs
8
Payer Policies
3
Linked CPTs

About ICD-10-CM L91.0

ICD-10-CM code L91.0 represents Hypertrophic scar. This is a billable/specific code in the Skin and Subcutaneous Tissue chapter (block L91). The 2026 edition of ICD-10-CM L91.0 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under L91.0. Per CMS ICD-10-CM Tabular 2026.

  • Keloid
  • Keloid scar

Type 2 Excludes

Not included here, the excluded code is not part of L91.0, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • acne keloid (L73.0)
  • scar NOS (L90.5)

Medicare LCD Coverage for L91.0

Local Coverage Determinations (LCDs) from CMS MACs that list L91.0 as a covered diagnosis.

308 LCDs

Showing top 10 of 308 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Removal of Benign Skin Lesions
Article ID: 57482, Effective: 2026-01-01 00:00:00, 138 covered, 1 non-covered
CPT 11313 →
CMS LCD: Billing and Coding: Removal of Benign Skin Lesions
Article ID: 57482, Effective: 2026-01-01 00:00:00, 138 covered, 1 non-covered
CPT 11300 →
CMS LCD: Billing and Coding: Removal of Benign Skin Lesions
Article ID: 57482, Effective: 2026-01-01 00:00:00, 138 covered, 1 non-covered
CPT 11306 →
CMS LCD: Billing and Coding: Removal of Benign Skin Lesions
Article ID: 57482, Effective: 2026-01-01 00:00:00, 138 covered, 1 non-covered
CPT 11423 →
CMS LCD: Billing and Coding: Removal of Benign Skin Lesions
Article ID: 57482, Effective: 2026-01-01 00:00:00, 138 covered, 1 non-covered
CPT 11442 →
CMS LCD: Billing and Coding: Removal of Benign Skin Lesions
Article ID: 57482, Effective: 2026-01-01 00:00:00, 138 covered, 1 non-covered
CPT 11307 →
CMS LCD: Billing and Coding: Removal of Benign Skin Lesions
Article ID: 57482, Effective: 2026-01-01 00:00:00, 138 covered, 1 non-covered
CPT 11303 →
CMS LCD: Billing and Coding: Removal of Benign Skin Lesions
Article ID: 57482, Effective: 2026-01-01 00:00:00, 138 covered, 1 non-covered
CPT 11305 →
CMS LCD: Billing and Coding: Removal of Benign Skin Lesions
Article ID: 57482, Effective: 2026-01-01 00:00:00, 138 covered, 1 non-covered
CPT 11302 →
CMS LCD: Billing and Coding: Removal of Benign Skin Lesions
Article ID: 57482, Effective: 2026-01-01 00:00:00, 138 covered, 1 non-covered
CPT 11440 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing L91.0.

8 policies

5 Medicare

Billing and Coding: Home Health Occupational Therapy
Policy ID: ART-53057
Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: Removal of Benign Skin Lesions
Policy ID: ART-57044
Billing and Coding: Removal of Benign Skin Lesions
Policy ID: ART-57113
Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
Policy ID: ART-57161

2 Aetna

Hypertrophic Scars and Keloids
Policy ID: CPB-0389
Radiation Treatment for Selected Nononcologic Indications
Policy ID: CPB-0551

CPT Codes Commonly Billed with L91.0

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

3 linkages
  • 17110 Destruction benign — warts, seborrheic keratosis, keloid Dermatology
  • 17000 Destruction benign lesion first — actinic keratosis, seborrheic keratosis, benign skin neoplasm, keloid, verruca, sebaceous cyst Dermatology
  • 11310 Shave removal benign lesion — melanocytic nevi, benign skin neoplasm, seborrheic keratosis, sebaceous cyst, keloid, lipoma Dermatology

Convert L91.0 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
L91.0 7014 00000

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

ICD-10 L91.0, Billing FAQ

Is ICD-10 code L91.0 billable? +

Yes, L91.0 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 L91.0? +

ICD-10 L91.0 includes: Keloid; Keloid scar.

What codes are Type 2 Excludes for L91.0? +

Type 2 Excludes (may be coded together when both conditions exist): acne keloid (L73.0); scar NOS (L90.5)

What CPT codes are commonly billed with L91.0? +

Procedures frequently paired with L91.0 include: 17110, 17000, 11310.

What ICD-9 codes does L91.0 map to? +

Per CMS GEMs, L91.0 maps to ICD-9 codes: 7014. 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 1, 2026.

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