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L12 ICD-10-CM Code: Pemphigoid

ICD-10-CM Code View

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FY 2026 Apr update / Diseases of the skin and subcutaneous tissue (L00-L99) / Bullous disorders (L10-L14)

L12

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

Pemphigoid

Pemphigoid

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
L1Bullous disorders (L10-L14)
L12Pemphigoid

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for L12 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for L12 in this effective period.

Related Child Codes

Official
L12.0Bullous pemphigoid
L12.1Cicatricial pemphigoid
L12.2Chronic bullous disease of childhood
L12.3Acquired epidermolysis bullosa
L12.8Other pemphigoid

Includes

Official

ICD-10-CM does not list Includes notes for L12 in this effective period.

Excludes 1

Official
  • herpes gestationis (O26.4-)
  • impetigo herpetiformis (L40.1)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for L12 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for L12 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for L12 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.

What This Code Means

L12 is the ICD-10-CM diagnosis code for pemphigoid. L12 sits in the ICD-10-CM chapter for diseases of the skin and subcutaneous tissue (l00-l99), within the section covering bullous disorders (l10-l14).

Header codes like L12 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 L12'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 L12 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • herpes gestationis (O26.4-)
  • impetigo herpetiformis (L40.1)

Child Codes

Code Hierarchy

L12Pemphigoid
L12Pemphigoid

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