Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.30
    OpenPayerBilling CodesOther disorders of the skin and subcutaneous tissueICD-10-CM l94-other-localized-connective-tissue-disorders
    Ask Trek AI about this page

    ICD-10-CM Code For Other Localized Connective Tissue Disorders: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group L94 includes localized connective tissue disorders of the skin such as morphea (localized scleroderma) and other cicatricial conditions that cause skin thickening, scarring, or pigment changes. These ICD-10-CM diagnosis codes are used to document clinical situations involving localized autoimmune or fibrosing skin processes, capturing disease distribution, severity, and anatomic involvement. Accurate coding within the ICD-10-CM L94 group supports proper claim adjudication and complete clinical documentation for appropriate reimbursement.

    Customize your policy alerts

    Sign up for ICD-10-CM Code For Other Localized Connective Tissue Disorders: Group Overview policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    ICD-10-CM L94: Other Localized Connective Tissue Disorders Overview

    The ICD-10-CM L94 group represents localized connective tissue disorders affecting the skin and subcutaneous tissues, including morphea (localized scleroderma) and related cicatricial conditions. These diagnoses target dermatologic and autoimmune-related processes that produce skin thickening, scarring, or pigment changes. Accurate coding matters for reimbursement and clinical communication because it reflects disease extent and directs appropriate claim processing.

    Table of contents

    Progress1 / 6

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • Facility ComparisonBeds, revenue & payer mix
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    When to Use

    Use a code from this group when clinical documentation indicates localized scleroderma, morphea, or other localized connective tissue disorders producing skin thickening, induration, or scarring. Select the code that matches the specific anatomic site and clinical description provided in the medical record.

    ICD-10-CM Codes

    9 rows

    ICD-10-CM CodeDescription
    L94.0Localized scleroderma [morphea]
    L94.1Linear scleroderma
    L94.2Calcinosis cutis
    L94.3Sclerodactyly
    L94.4Gottron's papules
    L94.5Poikiloderma vasculare atrophicans
    L94.6Ainhum
    L94.8Other specified localized connective tissue disorders
    L94.9Localized connective tissue disorder, unspecified

    DRG Codes

    7 rows

    DRG CodeDescription
    595Major Skin Disorders with MCC
    596Major Skin Disorders without MCC
    606Minor Skin Disorders with MCC
    607Minor Skin Disorders without MCC
    867Other Infectious and Parasitic Diseases Diagnoses with MCC
    868Other Infectious and Parasitic Diseases Diagnoses with CC
    869Other Infectious and Parasitic Diseases Diagnoses without CC/MCC

    Typical Clinical Scenarios

    • A middle-aged woman presents to dermatology with a several-month history of progressive, permanently indurated, waxy plaques and atrophy on the dorsal hands and forearms after a localized injury; exam shows bound-down skin with decreased range of motion and biopsy confirms localized scleroderma (morphea). She seeks evaluation for skin-limited fibrosing disease and functional impairment, and a localized connective tissue disorder code is assigned for the sclerotic skin changes. Typical codes: L94.0, L94.2
    • A teenager is brought to urgent care for new-onset, asymmetric, hyperpigmented and hypopigmented linear streaks with epidermal atrophy following Blaschko lines on the trunk and limbs; history and exam are consistent with linear scleroderma (en coup de sabre) with cosmetic concern and possible deeper tissue involvement. Acute presentation for diagnostic assessment and treatment planning leads to coding for linear or localized scleroderma variants within this group. Typical codes: L94.1, L94.3
    • An older patient with long-standing systemic autoimmune disease is seen in rheumatology for worsening localized cutaneous scarring and ulceration over prior radiation sites and chronic wounds; the clinician documents skin fibrosis and scarring as a comorbidity complicating wound healing and mobility. The visit is coded to capture the localized connective tissue disorder affecting the skin that contributes to the patient’s wound complications. Typical codes: L94.4, L94.8

    Related Codes

    L80-VITILIGO

    ICD-10-CM Code For Vitiligo: Group Overview

    L81-OTHER-DISORDERS-OF-PIGMENTATION

    ICD-10-CM Code For Other Disorders Of Pigmentation: 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

    Showing 1–10 of 18

    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.
    Published by

    Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.