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L98.1

Billable

Factitial dermatitis

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

What This Code Means

Self-inflicted skin damage caused by the patient intentionally picking, scratching, or otherwise harming their own skin, often due to psychological factors.

Coding Tips

  • Document evidence of intentional self-injury and rule out accidental trauma or other dermatological conditions
  • Consider linking to mental health diagnosis codes (F codes) when factitial dermatitis is present, as psychological evaluation may be warranted

Excludes 1 — Do NOT code together

  • Excoriation (skin-picking) disorder (F42.4)

Code Hierarchy

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