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L87.0

Billable

Keratosis follicularis et parafollicularis in cutem penetrans

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

Is L87.0 an HCC code?

No. L87.0 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

L87.0 is the ICD-10-CM diagnosis code for keratosis follicularis et parafollicularis in cutem penetrans. A rare skin condition where keratin-filled bumps penetrate through the skin surface, often appearing as small, firm papules. L87.0 sits in the ICD-10-CM chapter for diseases of the skin and subcutaneous tissue (l00-l99), within the section covering other disorders of the skin and subcutaneous tissue (l80-l99).

L87.0 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.

This is a rare condition; ensure diagnosis is clearly documented by the provider.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for L87.0 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This is a rare condition; ensure diagnosis is clearly documented by the provider
  • Document location and extent of lesions

Code Hierarchy

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