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L57.9

Billable

Skin changes due to chronic exposure to nonionizing radiation, unspecified

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

Is L57.9 an HCC code?

No. L57.9 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

L57.9 is the ICD-10-CM diagnosis code for skin changes due to chronic exposure to nonionizing radiation, unspecified. Skin damage and changes caused by long-term exposure to non-radioactive radiation (such as UV light) without further specification of the type of change. L57.9 sits in the ICD-10-CM chapter for diseases of the skin and subcutaneous tissue (l00-l99), within the section covering radiation-related disorders of the skin and subcutaneous tissue (l55-l59).

L57.9 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Use this code when chronic radiation exposure effects are documented but the specific skin manifestation is not clearly identified.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for L57.9 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code when chronic radiation exposure effects are documented but the specific skin manifestation is not clearly identified
  • Consider if more specific codes like L57.0 (actinic keratosis) or L57.8 (other skin changes) would be more appropriate

Code Hierarchy

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