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L27 ICD-10-CM Code: Dermatitis due to substances taken internally

ICD-10-CM Code View

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

L27

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

Dermatitis due to substances taken internally

Dermatitis due to substances taken internally

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)
L27Dermatitis due to substances taken internally

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for L27 in this effective period.

Excludes 2

Official
  • adverse food reaction, except dermatitis (T78.0-T78.1)
  • contact dermatitis (L23-L25)
  • drug photoallergic response (L56.1)
  • drug phototoxic response (L56.0)
  • urticaria (L50.-)

Related Child Codes

Official
L27.0Generalized skin eruption due to drugs and medicaments taken internally
L27.1Localized skin eruption due to drugs and medicaments taken internally
L27.2Dermatitis due to ingested food
L27.8Dermatitis due to other substances taken internally
L27.9Dermatitis due to unspecified substance taken internally

Includes

Official

ICD-10-CM does not list Includes notes for L27 in this effective period.

Excludes 1

Official
  • allergy NOS (T78.40)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for L27 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for L27 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for L27 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

L27 is the ICD-10-CM diagnosis code for dermatitis due to substances taken internally. L27 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 L27 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 L27'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 L27 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

  • adverse food reaction, except dermatitis (T78.0-T78.1)
  • contact dermatitis (L23-L25)
  • drug photoallergic response (L56.1)
  • drug phototoxic response (L56.0)
  • urticaria (L50.-)

Child Codes

Code Hierarchy

L27Dermatitis due to substances taken internally
L27Dermatitis due to substances taken internally

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