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L92.8

Billable

Other granulomatous disorders of the skin and subcutaneous tissue

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

Is L92.8 an HCC code?

No. L92.8 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

L92.8 is the ICD-10-CM diagnosis code for other granulomatous disorders of the skin and subcutaneous tissue. A catch-all category for various granulomatous skin conditions that don't fit into the more specific granuloma categories. L92.8 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).

L92.8 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 only after excluding more specific granulomatous diagnoses (L92.0-L92.3).

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for L92.8 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code only after excluding more specific granulomatous diagnoses (L92.0-L92.3)
  • Document the clinical presentation and any diagnostic findings to support the granulomatous diagnosis

Code Hierarchy

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