A67.1 ICD-10-CM Code: Intermediate lesions of pinta
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FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Other spirochetal diseases (A65-A69)
A67.1
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceIntermediate lesions of pinta
Pinta is a rare skin infection caused by a spirochete bacterium that primarily affects the skin, causing discolored patches. Intermediate lesions represent the middle stage of the disease where the skin shows characteristic color changes and lesions that are more developed than early stages but not yet in the final phase.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
Official- Erythematous plaques of pinta
- Hyperchromic lesions of pinta
- Hyperkeratosis of pinta
- Pintids
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for A67.1 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for A67.1 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for A67.1 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for A67.1 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for A67.1 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for A67.1 in this effective period.
Buddy Documentation Tip
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
Is A67.1 an HCC code?
No. A67.1 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
Coder workflow notes
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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
A67.1 is the ICD-10-CM diagnosis code for intermediate lesions of pinta. Pinta is a rare skin infection caused by a spirochete bacterium that primarily affects the skin, causing discolored patches. Intermediate lesions represent the middle stage of the disease where the skin shows characteristic color changes and lesions that are more developed than early stages but not yet in the final phase. A67.1 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering other spirochetal diseases (a65-a69).
A67.1 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Pinta is endemic to Central and South America, so verify patient's geographic history or travel background to support the diagnosis.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A67.1 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.