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    v1.0.28
    OpenPayerBilling CodesDisorders of skin appendagesICD-10-CM l66-cicatricial-alopecia-scarring-hair-loss
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    ICD-10-CM Code For Cicatricial Alopecia Scarring Hair Loss: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group L66 includes inflammatory and scarring disorders of the scalp that result in permanent destruction of hair follicles, such as primary cicatricial alopecias and related conditions. These ICD-10-CM diagnosis codes are used to document clinical presentations of scarring hair loss, capturing disease severity, pattern of follicular destruction, and any associated scalp inflammation or secondary complications. Accurate coding within the ICD-10-CM L66 group supports proper claim adjudication and complete clinical documentation and appropriate reimbursement.

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    ICD-10-CM L66: Cicatricial Alopecia [Scarring Hair Loss] Overview

    The ICD-10-CM L66 code group covers cicatricial alopecia, a set of inflammatory scalp disorders that cause permanent hair follicle destruction and scarring. These conditions affect the skin appendages, primarily hair follicles, and can result in irreversible hair loss. Accurate coding ensures the clinical course and severity are documented and supports appropriate reimbursement for dermatologic care.

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    When to Use

    Use a code from this group when documenting cases of permanent hair loss on the scalp accompanied by scarring and evidence of follicular destruction. Select the most specific code to reflect the clinical pattern, presence of inflammation, and any identified underlying etiology.

    ICD-10-CM Codes

    11 rows

    ICD-10-CM CodeDescription
    L66.0Pseudopelade
    L66.10Lichen planopilaris, unspecified
    L66.11Classic lichen planopilaris
    L66.12Frontal fibrosing alopecia
    L66.19Other lichen planopilaris
    L66.2Folliculitis decalvans
    L66.3Perifolliculitis capitis abscedens
    L66.4Folliculitis ulerythematosa reticulata
    L66.81Central centrifugal cicatricial alopecia
    L66.89Other cicatricial alopecia
    L66.9Cicatricial alopecia, unspecified

    DRG Codes

    2 rows

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

    Typical Clinical Scenarios

    • A middle-aged woman presents to dermatology with slowly progressive, well-demarcated patches of permanent hair loss on the scalp associated with smooth, shiny skin and loss of follicular openings over months. She reports prior inflammatory pustules and scarring in the affected areas; biopsy confirms lymphocytic destruction of hair follicles consistent with primary scarring alopecia. A code from this group is assigned to document the cicatricial hair loss and subtype if specified. Typical codes: L66.0, L66.1
    • A young adult arrives to urgent care with an acute, painful pustular eruption on the scalp that rapidly destroys follicles, leaving ulceration and early scarring after a severe bacterial infection. The patient requires evaluation for secondary scarring alopecia resulting from the infectious folliculitis and assessment of wound care and potential systemic therapy; a scarring alopecia diagnosis code capturing an infectious or neutrophilic cause is used. Typical codes: L66.2, L66.3
    • An elderly patient with long-standing biopsy-proven discoid lupus of the scalp is followed in rheumatology for chronic hair loss and scar formation with dyspigmentation and persistent follicular plugging. The chronic autoimmune process has produced permanent cicatricial alopecia and is documented as a comorbidity contributing to functional and cosmetic concerns; a chronic scarring alopecia code specific to lupus-related or other specified causes is selected. Typical codes: L66.81, L66.89

    Related Codes

    L60-NAIL-DISORDERS

    ICD-10-CM Code For Nail Disorders: Group Overview

    L62-NAIL-DISORDERS-IN-DISEASES-CLASSIFIED-ELSEWHERE

    ICD-10-CM Code For Nail Disorders In Diseases Classified Elsewhere: Group Overview

    L63-ALOPECIA-AREATA

    ICD-10-CM Code For Alopecia Areata: Group Overview

    L64-ANDROGENIC-ALOPECIA

    ICD-10-CM Code For Androgenic Alopecia: Group Overview

    L65-OTHER-NONSCARRING-HAIR-LOSS

    ICD-10-CM Code For Other Nonscarring Hair Loss: Group Overview

    L67-HAIR-COLOR-AND-HAIR-SHAFT-ABNORMALITIES

    ICD-10-CM Code For Hair Color And Hair Shaft Abnormalities: Group Overview

    L68-HYPERTRICHOSIS

    ICD-10-CM Code For Hypertrichosis: Group Overview

    L70-ACNE

    ICD-10-CM Code For Acne: Group Overview

    L71-ROSACEA

    ICD-10-CM Code For Rosacea: Group Overview

    L72-FOLLICULAR-CYSTS-OF-SKIN

    ICD-10-CM Code For Follicular Cysts Of Skin And Subcutaneous Tissue: Group Overview

    Showing 1–10 of 13

    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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