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

ICD-10 L93.0

Billable / Specific

Discoid lupus erythematosus

L93
Block
1
Synonyms
18
LCDs
6
Payer Policies
2
Linked CPTs

About ICD-10-CM L93.0

ICD-10-CM code L93.0 represents Discoid lupus erythematosus. This is a billable/specific code in the Skin and Subcutaneous Tissue chapter (block L93). The 2026 edition of ICD-10-CM L93.0 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under L93.0. Per CMS ICD-10-CM Tabular 2026.

  • Lupus erythematosus NOS

Medicare LCD Coverage for L93.0

Local Coverage Determinations (LCDs) from CMS MACs that list L93.0 as a covered diagnosis.

18 LCDs

Showing top 10 of 18 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92201 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92250 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92202 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92227 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92228 →
CMS LCD: Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
Article ID: 56726, Effective: 2025-10-01 00:00:00, 1480 covered, 0 non-covered
CPT 92201 →
CMS LCD: Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
Article ID: 56726, Effective: 2025-10-01 00:00:00, 1480 covered, 0 non-covered
CPT 92250 →
CMS LCD: Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
Article ID: 56726, Effective: 2025-10-01 00:00:00, 1480 covered, 0 non-covered
CPT 92202 →
CMS LCD: Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
Article ID: 56726, Effective: 2025-10-01 00:00:00, 1480 covered, 0 non-covered
CPT 92227 →
CMS LCD: Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
Article ID: 56726, Effective: 2025-10-01 00:00:00, 1480 covered, 0 non-covered
CPT 92228 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing L93.0.

6 policies

4 Medicare

Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Policy ID: ART-53060
Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
Policy ID: ART-56726
Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Policy ID: ART-56825
Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
Policy ID: ART-57071

2 Aetna

Fetal Echocardiography and Magnetocardiography
Policy ID: CPB-0106
Fundus Photography
Policy ID: CPB-0539

CPT Codes Commonly Billed with L93.0

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

2 linkages
  • 11102 Tangential skin biopsy — uncertain neoplasm skin, actinic keratosis, melanocytic nevi, skin cancer, melanoma, psoriasis, discoid lupus, skin disorder, rash, seborrheic keratosis, benign neoplasm, dermatitis, prurigo, dermatitis herpetiformis Dermatology
  • 11104 Punch biopsy skin — uncertain skin neoplasm, skin cancer, melanoma, nevi, psoriasis, lupus, connective tissue disorder, pemphigus, bullous pemphigoid Dermatology

Convert L93.0 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
L93.0 6954 10000

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

ICD-10 L93.0, Billing FAQ

Is ICD-10 code L93.0 billable? +

Yes, L93.0 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 L93.0? +

ICD-10 L93.0 includes: Lupus erythematosus NOS.

What CPT codes are commonly billed with L93.0? +

Procedures frequently paired with L93.0 include: 11102, 11104.

What ICD-9 codes does L93.0 map to? +

Per CMS GEMs, L93.0 maps to ICD-9 codes: 6954. 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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