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L91 ICD-10-CM Code: Hypertrophic disorders of skin

L91 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · HCC Buddy coding tools

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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)

L91

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

Hypertrophic disorders of skin

Hypertrophic disorders of skin

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
L9Other disorders of the skin and subcutaneous tissue (L80-L99)
L91Hypertrophic disorders of skin

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for L91 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for L91 in this effective period.

Related Child Codes

Official
L91.0Hypertrophic scar
L91.8Other hypertrophic disorders of the skin
L91.9Hypertrophic disorder of the skin, unspecified

Includes

Official

ICD-10-CM does not list Includes notes for L91 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for L91 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for L91 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for L91 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for L91 in this effective period.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
L91
Description
Hypertrophic disorders of skin
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

L91 is the ICD-10-CM diagnosis code for hypertrophic disorders of skin. L91 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 L91 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 L91'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 L91 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

L91Hypertrophic disorders of skin
L91Hypertrophic disorders of skin

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