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L23 ICD-10-CM Code: Allergic contact dermatitis

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

FY 2026 Apr update / Diseases of the skin and subcutaneous tissue (L00-L99) / Dermatitis and eczema (L20-L30)

L23

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

Allergic contact dermatitis

Allergic contact dermatitis

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
L2Dermatitis and eczema (L20-L30)
L23Allergic contact dermatitis

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for L23 in this effective period.

Excludes 2

Official
  • dermatitis due to substances taken internally (L27.-)
  • dermatitis of eyelid (H01.1-)
  • diaper dermatitis (L22)
  • eczema of external ear (H60.5-)
  • irritant contact dermatitis (L24.-)

Related Child Codes

Official
L23.0Allergic contact dermatitis due to metals
L23.1Allergic contact dermatitis due to adhesives
L23.2Allergic contact dermatitis due to cosmetics
L23.3Allergic contact dermatitis due to drugs in contact with skin
L23.4Allergic contact dermatitis due to dyes

Includes

Official

ICD-10-CM does not list Includes notes for L23 in this effective period.

Excludes 1

Official
  • allergy NOS (T78.40)
  • contact dermatitis NOS (L25.9)
  • dermatitis NOS (L30.9)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for L23 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for L23 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for L23 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

L23 is the ICD-10-CM diagnosis code for allergic contact dermatitis. L23 sits in the ICD-10-CM chapter for diseases of the skin and subcutaneous tissue (l00-l99), within the section covering dermatitis and eczema (l20-l30).

Header codes like L23 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 L23'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 L23 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

Excludes 2, Not included here, may code separately

  • dermatitis due to substances taken internally (L27.-)
  • dermatitis of eyelid (H01.1-)
  • diaper dermatitis (L22)
  • eczema of external ear (H60.5-)
  • irritant contact dermatitis (L24.-)
  • perioral dermatitis (L71.0)
  • radiation-related disorders of the skin and subcutaneous tissue (L55-L59)

Child Codes

Code Hierarchy

L23Allergic contact dermatitis
L23Allergic contact dermatitis

Work L23 in HCC Buddy

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