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

ICD-10 Q81.9

Billable / Specific

Epidermolysis bullosa, unspecified

Q81
Block
0
Synonyms
63
LCDs
3
Payer Policies
0
Linked CPTs

About ICD-10-CM Q81.9

ICD-10-CM code Q81.9 represents Epidermolysis bullosa, unspecified. This is a billable/specific code in the Congenital Malformations chapter (block Q81). The 2026 edition of ICD-10-CM Q81.9 became effective on October 1, 2025.

Medicare LCD Coverage for Q81.9

Local Coverage Determinations (LCDs) from CMS MACs that list Q81.9 as a covered diagnosis.

63 LCDs

Showing top 10 of 63 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Wound and Ulcer Care
Article ID: 58565, Effective: 2026-01-01 00:00:00, 1248 covered, 0 non-covered
CPT 97607 →
CMS LCD: Billing and Coding: Wound and Ulcer Care
Article ID: 58565, Effective: 2026-01-01 00:00:00, 1248 covered, 0 non-covered
CPT 29580 →
CMS LCD: Billing and Coding: Wound and Ulcer Care
Article ID: 58565, Effective: 2026-01-01 00:00:00, 1248 covered, 0 non-covered
CPT 97606 →
CMS LCD: Billing and Coding: Wound and Ulcer Care
Article ID: 58565, Effective: 2026-01-01 00:00:00, 1248 covered, 0 non-covered
CPT 11044 →
CMS LCD: Billing and Coding: Wound and Ulcer Care
Article ID: 58565, Effective: 2026-01-01 00:00:00, 1248 covered, 0 non-covered
CPT 11047 →
CMS LCD: Billing and Coding: Wound and Ulcer Care
Article ID: 58565, Effective: 2026-01-01 00:00:00, 1248 covered, 0 non-covered
CPT 11010 →
CMS LCD: Billing and Coding: Wound and Ulcer Care
Article ID: 58565, Effective: 2026-01-01 00:00:00, 1248 covered, 0 non-covered
CPT 29445 →
CMS LCD: Billing and Coding: Wound and Ulcer Care
Article ID: 58565, Effective: 2026-01-01 00:00:00, 1248 covered, 0 non-covered
CPT 97610 →
CMS LCD: Billing and Coding: Wound and Ulcer Care
Article ID: 58565, Effective: 2026-01-01 00:00:00, 1248 covered, 0 non-covered
CPT 11000 →
CMS LCD: Billing and Coding: Wound and Ulcer Care
Article ID: 58565, Effective: 2026-01-01 00:00:00, 1248 covered, 0 non-covered
CPT 29581 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Q81.9.

3 policies

2 Medicare

Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
Policy ID: ART-57161
Billing and Coding: Wound and Ulcer Care
Policy ID: ART-58565

1 Aetna

Contact Lenses and Eyeglasses
Policy ID: CPB-0126

CPT Codes Commonly Billed with Q81.9

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

No procedure linkages on file for Q81.9

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 Q81.9 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
Q81.9 75739 10000

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

ICD-10 Q81.9, Billing FAQ

Is ICD-10 code Q81.9 billable? +

Yes, Q81.9 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does Q81.9 map to? +

Per CMS GEMs, Q81.9 maps to ICD-9 codes: 75739. 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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