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L90 ICD-10-CM Code: Atrophic disorders of skin

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FY 2026 Apr update / Diseases of the skin and subcutaneous tissue (L00-L99) / Other disorders of the skin and subcutaneous tissue (L80-L99)

L90

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

Atrophic disorders of skin

Atrophic disorders of skin

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
L9Other disorders of the skin and subcutaneous tissue (L80-L99)
L90Atrophic disorders of skin

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for L90 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for L90 in this effective period.

Related Child Codes

Official
L90.0Lichen sclerosus et atrophicus
L90.1Anetoderma of Schweninger-Buzzi
L90.2Anetoderma of Jadassohn-Pellizzari
L90.3Atrophoderma of Pasini and Pierini
L90.4Acrodermatitis chronica atrophicans

Includes

Official

ICD-10-CM does not list Includes notes for L90 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for L90 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for L90 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for L90 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for L90 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.

What This Code Means

L90 is the ICD-10-CM diagnosis code for atrophic disorders of skin. L90 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).

Header codes like L90 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 L90'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 L90 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

L90Atrophic disorders of skin
L90Atrophic disorders of skin

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