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    v1.0.28
    OpenPayerBilling CodesOther disorders of the skin and subcutaneous tissueICD-10-CM l81-other-disorders-of-pigmentation
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    ICD-10-CM Code For Other Disorders Of Pigmentation: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group L81 includes diagnoses for disorders of skin pigmentation such as vitiligo, melasma, postinflammatory hyperpigmentation, and other specified or unspecified pigmentation anomalies. These ICD-10-CM diagnosis codes are used to document clinical encounters for assessment, monitoring, and treatment plans that capture disease distribution, severity, and any functional or cosmetic impact. Accurate coding within the ICD-10-CM L81 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM L81: Other Disorders Of Pigmentation Overview

    The ICD-10-CM L81 group captures disorders characterized by abnormal skin pigmentation, including hypo- and hyperpigmentation conditions that affect skin appearance. These diagnoses target the integumentary system and often reflect localized or diffuse changes in melanin distribution. Accurate coding matters for complete clinical documentation and appropriate reimbursement by linking clinical findings to claims.

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    When to Use

    Use a code from this group when a patient presents with documented pigmentary changes of the skin that have been clinically assessed and characterized by the provider. Select the most specific code that reflects the type and distribution of pigmentation disturbance to support accurate clinical and billing records.

    ICD-10-CM Codes

    10 rows

    ICD-10-CM CodeDescription
    L81.0Postinflammatory hyperpigmentation
    L81.1Chloasma
    L81.2Freckles
    L81.3Cafe au lait spots
    L81.4Other melanin hyperpigmentation
    L81.5Leukoderma, not elsewhere classified
    L81.6Other disorders of diminished melanin formation
    L81.7Pigmented purpuric dermatosis
    L81.8Other specified disorders of pigmentation
    L81.9Disorder of pigmentation, unspecified

    DRG Codes

    3 rows

    DRG CodeDescription
    606Minor Skin Disorders with MCC
    607Minor Skin Disorders without MCC
    795Normal Newborn

    Typical Clinical Scenarios

    • An adult with progressive mottled hyperpigmentation and asymptomatic gray-brown patches on sun-exposed and flexural areas presents to dermatology for evaluation of chronic skin discoloration. The clinician documents diffuse acanthosis nigricans–like hyperpigmentation without associated endocrine disorder and assigns a diagnosis from this pigmentation disorders group to capture the primary pigmentary abnormality. Typical codes: L81.1, L81.4
    • A pediatric patient is brought to urgent care with sudden-onset light-colored, depigmented macules on the face and hands after a preceding viral illness; the lesions are enlarging and causing caregiver concern about contagiousness. The clinician recognizes an acute, non-scarring loss of pigment consistent with vitiligo or postinflammatory hypopigmentation and assigns a code from this group to identify the pigmentary condition prompting evaluation and counseling. Typical codes: L81.0, L81.2
    • An elderly patient in a long-term care facility has multiple irregularly shaped hyperpigmented macules on sun-damaged forearms and trunk noted during a routine skin check; the changes are asymptomatic but documented as senile lentigines contributing to overall skin aging and cosmetic concern. The primary care provider records a chronic pigmentation disorder code from this group to document a nonmalignant, age-related pigmentary change as part of the problem list and longitudinal care. Typical codes: L81.3, L81.9

    Related Codes

    L80-VITILIGO

    ICD-10-CM Code For Vitiligo: Group Overview

    L82-SEBORRHEIC-KERATOSIS

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

    L83-ACANTHOSIS-NIGRICANS

    ICD-10-CM Code For Acanthosis Nigricans: Group Overview

    L84-CORNS-AND-CALLOSITIES

    ICD-10-CM Code For Corns And Callosities: Group Overview

    L85-OTHER-EPIDERMAL-THICKENING

    ICD-10-CM Code For Other Epidermal Thickening: Group Overview

    L86-KERATODERMA-IN-DISEASES-CLASSIFIED-ELSEWHERE

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

    L87-TRANSEPIDERMAL-ELIMINATION-DISORDERS

    ICD-10-CM Code For Transepidermal Elimination Disorders: Group Overview

    L88-PYODERMA-GANGRENOSUM

    ICD-10-CM Code For Pyoderma Gangrenosum: Group Overview

    L89-PRESSURE-ULCER

    ICD-10-CM Code For Pressure Ulcer: Group Overview

    L90-ATROPHIC-DISORDERS-OF-SKIN

    ICD-10-CM Code For Atrophic Disorders Of Skin: Group Overview

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    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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