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    v1.0.28
    OpenPayerBilling CodesPapulosquamous disordersICD-10-CM l41-parapsoriasis
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    ICD-10-CM Code For Parapsoriasis: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group L41 includes parapsoriasis variants, such as small-plaque and large-plaque parapsoriasis, and related chronic scaly skin disorders that may mimic other papulosquamous diseases. These ICD-10-CM diagnosis codes are used to document the presence and clinical characteristics of chronic scaly patches or plaques, capturing disease distribution, chronicity, and diagnostic specificity relevant to dermatologic management. Accurate coding within the ICD-10-CM L41 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM L41: Parapsoriasis Overview

    Parapsoriasis describes a group of chronic papulosquamous skin disorders characterized by scaly patches or plaques, often affecting the trunk and proximal limbs. These conditions target the integumentary system and can range from small-plaque variants to larger, more persistent lesions. Accurate coding ensures complete clinical documentation and supports appropriate reimbursement for dermatologic care.

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    When to Use

    Use a code from this group when a clinician documents parapsoriasis or a specified subtype with sufficient clinical detail about lesion morphology and distribution. Codes are applied for encounters involving diagnosis, monitoring, or treatment of chronic scaly patches or plaques attributed to parapsoriasis.

    ICD-10-CM Codes

    7 rows

    ICD-10-CM CodeDescription
    L41.0Pityriasis lichenoides et varioliformis acuta
    L41.1Pityriasis lichenoides chronica
    L41.3Small plaque parapsoriasis
    L41.4Large plaque parapsoriasis
    L41.5Retiform parapsoriasis
    L41.8Other parapsoriasis
    L41.9Parapsoriasis, unspecified

    DRG Codes

    2 rows

    DRG CodeDescription
    595Major Skin Disorders with MCC
    596Major Skin Disorders without MCC

    Typical Clinical Scenarios

    • A middle-aged patient presents to dermatology with slowly progressive, scaly, erythematous patches that have been stable for months and primarily affect the trunk and proximal limbs; history and exam suggest chronic, persistent parapsoriasis (small-plaque or large-plaque) rather than eczema or psoriasis, so a parapsoriasis-specific diagnosis is assigned after clinic evaluation and skin biopsy may be planned. Typical codes: L41.0, L41.1
    • An elderly patient with long-standing, widespread, poikilodermatous patches and focal atrophy is seen for worsening photosensitivity and new ulceration; because the presentation is of chronic, extensive parapsoriasis with atypical features raising concern for progression toward cutaneous lymphoma, a parapsoriasis diagnosis code indicating the chronic large-plaque variant is used while further workup is arranged. Typical codes: L41.3, L41.4
    • A patient with a prior diagnosis of parapsoriasis presents to urgent care with a superimposed bacterial skin infection (secondary impetiginization) at the site of long-standing scaly plaques causing increasing pain, erythema, and purulence; the clinician documents parapsoriasis as the underlying dermatologic condition contributing to the infection and assigns the appropriate parapsoriasis code alongside the acute infection code. Typical codes: L41.5, L41.9

    Related Codes

    L40-PSORIASIS

    ICD-10-CM Code For Psoriasis: Group Overview

    L42-PITYRIASIS-ROSEA

    ICD-10-CM Code For Pityriasis Rosea: Group Overview

    L43-LICHEN-PLANUS

    ICD-10-CM Code For Lichen Planus: Group Overview

    L44-OTHER-PAPULOSQUAMOUS-DISORDERS

    ICD-10-CM Code For Other Papulosquamous Disorders: Group Overview

    L45-PAPULOSQUAMOUS-DISORDERS-IN-DISEASES-CLASSIFIED-ELSEWHERE

    ICD-10-CM Code For Papulosquamous Disorders In Diseases Classified Elsewhere: 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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