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L50 ICD-10-CM Code: Urticaria

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) / Urticaria and erythema (L49-L54)

L50

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

Urticaria

Urticaria

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
L5Urticaria and erythema (L49-L54)
L50Urticaria

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for L50 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for L50 in this effective period.

Related Child Codes

Official
L50.0Allergic urticaria
L50.1Idiopathic urticaria
L50.2Urticaria due to cold and heat
L50.3Dermatographic urticaria
L50.4Vibratory urticaria

Includes

Official

ICD-10-CM does not list Includes notes for L50 in this effective period.

Excludes 1

Official
  • allergic contact dermatitis (L23.-)
  • angioneurotic edema (T78.3)
  • giant urticaria (T78.3)
  • hereditary angio-edema (D84.1)
  • Quincke's edema (T78.3)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for L50 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for L50 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for L50 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

L50 is the ICD-10-CM diagnosis code for urticaria. L50 sits in the ICD-10-CM chapter for diseases of the skin and subcutaneous tissue (l00-l99), within the section covering urticaria and erythema (l49-l54).

Header codes like L50 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 L50'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 L50 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • allergic contact dermatitis (L23.-)
  • angioneurotic edema (T78.3)
  • giant urticaria (T78.3)
  • hereditary angio-edema (D84.1)
  • Quincke's edema (T78.3)
  • serum urticaria (T80.6-)
  • solar urticaria (L56.3)
  • urticaria neonatorum (P83.8)
  • urticaria papulosa (L28.2)
  • urticaria pigmentosa (D47.01)

Child Codes

Code Hierarchy

L50Urticaria
L50Urticaria

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