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    v1.0.28
    OpenPayerBilling CodesDermatitis and eczemaICD-10-CM l23-allergic-contact-dermatitis
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    ICD-10-CM Code For Allergic Contact Dermatitis: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group L23 includes allergic contact dermatitis subtypes and specifies reactions to contactants such as metals, cosmetics, medications applied to the skin, and plants. These ICD-10-CM diagnosis codes are used to document acute or chronic contact hypersensitivity reactions, capturing factors like identified allergens, affected skin sites, and severity or chronicity when applicable. Accurate coding within the ICD-10-CM L23 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM L23: Allergic Contact Dermatitis Overview

    Allergic contact dermatitis codes describe skin inflammation caused by an immunologic reaction to external contactants, often presenting with erythema, pruritus, vesicles, or scaling. These diagnoses target the integumentary system and identify specific allergens or exposures when known. Accurate coding matters for reimbursement because it links clinical findings and documented exposures to the correct diagnosis codes used in claims processing and care quality measurement.

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    When to Use

    Use a code from this group when a clinician documents allergic contact dermatitis and, when known, specifies the causative contactant or the affected skin site. Select the most specific code available to reflect identified allergens, laterality, and the chronicity or acute nature of the dermatitis.

    ICD-10-CM Codes

    11 rows

    ICD-10-CM CodeDescription
    L23.0Allergic contact dermatitis due to metals
    L23.1Allergic contact dermatitis due to adhesives
    L23.2Allergic contact dermatitis due to cosmetics
    L23.3Allergic contact dermatitis due to drugs in contact with skin
    L23.4Allergic contact dermatitis due to dyes
    L23.5Allergic contact dermatitis due to other chemical products
    L23.6Allergic contact dermatitis due to food in contact with the skin
    L23.7Allergic contact dermatitis due to plants, except food
    L23.81Allergic contact dermatitis due to animal (cat) (dog) dander
    L23.89Allergic contact dermatitis due to other agents
    L23.9Allergic contact dermatitis, unspecified cause

    DRG Codes

    2 rows

    DRG CodeDescription
    606Minor Skin Disorders with MCC
    607Minor Skin Disorders without MCC

    Typical Clinical Scenarios

    • An adult patient presents to urgent care with sudden-onset, intensely pruritic, erythematous vesicular dermatitis on the dorsum of both hands after handling new latex gloves at work for the first time; symptoms began within 24–48 hours and include localized swelling and blistering consistent with a delayed hypersensitivity reaction. A contact allergy to a workplace material is suspected and a contact dermatitis code is assigned to capture the etiology-driven, acute occupational exposure. Typical codes: L23.6, L23.7
    • A middle-aged homeowner reports a persistent, recurrent eczematous rash on the forearms and lower legs for several months that flares after using a new brand of topical antibiotic ointment and fragrance-containing lotion; symptoms partially improve with avoidance measures but recur with exposures. This chronic, relapsing allergic contact dermatitis related to multiple identified external agents is coded to reflect ongoing management and causative allergens. Typical codes: L23.8, L23.9
    • An elderly patient in a nursing facility develops widespread eczematous eruption with excoriations and secondary bacterial infection after prolonged use of adhesive dressings for wound care; the dermatitis appears related to adhesive contact sensitivity and now complicates wound healing and requires antimicrobial therapy. The diagnosis captures the allergic contact etiology and the fact it is complicating another care issue. Typical codes: L23.0, L23.3

    Related Codes

    L20-ATOPIC-DERMATITIS

    ICD-10-CM Code For Atopic Dermatitis: Group Overview

    L21-SEBORRHEIC-DERMATITIS

    ICD-10-CM Code For Seborrheic Dermatitis: Group Overview

    L22-DIAPER-DERMATITIS

    ICD-10-CM Code For Diaper Dermatitis: Group Overview

    L24-IRRITANT-CONTACT-DERMATITIS

    ICD-10-CM Code For Irritant Contact Dermatitis: Group Overview

    L25-UNSPECIFIED-CONTACT-DERMATITIS

    ICD-10-CM Code For Unspecified Contact Dermatitis: Group Overview

    L26-EXFOLIATIVE-DERMATITIS

    ICD-10-CM Code For Exfoliative Dermatitis: Group Overview

    L27-DERMATITIS-DUE-TO-SUBSTANCES-TAKEN-INTERNALLY

    ICD-10-CM Code For Dermatitis Due To Substances Taken Internally: Group Overview

    L28-LICHEN-SIMPLEX-CHRONICUS-AND-PRURIGO

    ICD-10-CM Code For Lichen Simplex Chronicus And Prurigo: Group Overview

    L29-PRURITUS

    ICD-10-CM Code For Pruritus: Group Overview

    L30-OTHER-AND-UNSPECIFIED-DERMATITIS

    ICD-10-CM Code For Other And Unspecified Dermatitis: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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