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L04 ICD-10-CM Code: Acute lymphadenitis

ICD-10-CM Code View

HCC Buddy Code Card

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FY 2026 Apr update / Diseases of the skin and subcutaneous tissue (L00-L99) / Infections of the skin and subcutaneous tissue (L00-L08)

L04

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Acute lymphadenitis

Acute lymphadenitis

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

Official
L0Infections of the skin and subcutaneous tissue (L00-L08)
L04Acute lymphadenitis

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for L04 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for L04 in this effective period.

Related Child Codes

Official
L04.0Acute lymphadenitis of face, head and neck
L04.1Acute lymphadenitis of trunk
L04.2Acute lymphadenitis of upper limb
L04.3Acute lymphadenitis of lower limb
L04.8Acute lymphadenitis of other sites

Includes

Official
  • abscess (acute) of lymph nodes, except mesenteric
  • acute lymphadenitis, except mesenteric

Excludes 1

Official
  • chronic or subacute lymphadenitis, except mesenteric (I88.1)
  • enlarged lymph nodes (R59.-)
  • human immunodeficiency virus [HIV] disease resulting in generalized lymphadenopathy (B20)
  • lymphadenitis NOS (I88.9)
  • nonspecific mesenteric lymphadenitis (I88.0)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for L04 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for L04 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for L04 in this effective period.

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.

Coder workflow notes

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What This Code Means

L04 is the ICD-10-CM diagnosis code for acute lymphadenitis. L04 sits in the ICD-10-CM chapter for diseases of the skin and subcutaneous tissue (l00-l99), within the section covering infections of the skin and subcutaneous tissue (l00-l08).

Header codes like L04 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at L04's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for L04 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • abscess (acute) of lymph nodes, except mesenteric
  • acute lymphadenitis, except mesenteric

Excludes 1, Do NOT code together

  • chronic or subacute lymphadenitis, except mesenteric (I88.1)
  • enlarged lymph nodes (R59.-)
  • human immunodeficiency virus [HIV] disease resulting in generalized lymphadenopathy (B20)
  • lymphadenitis NOS (I88.9)
  • nonspecific mesenteric lymphadenitis (I88.0)

Child Codes

Code Hierarchy

L04Acute lymphadenitis
L04Acute lymphadenitis

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