2017/18 ICD-10-CM Diagnosis Code L23.3

Allergic contact dermatitis due to drugs in contact with skin

Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code for adverse effect, if applicable, to identify drug (T36-T50
    ICD-10-CM Range T36-T50

    Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances

    Code First
    • , for adverse effects, the nature of the adverse effect, such as:
    • adverse effect NOS (T88.7 )
    • aspirin gastritis (K29.-)
    • blood disorders (D56-D76 )
    • contact dermatitis (L23-L25 )
    • dermatitis due to substances taken internally (L27.-)
    • nephropathy (N14.0-N14.2)
    Includes
    • adverse effect of correct substance properly administered
    • poisoning by overdose of substance
    • poisoning by wrong substance given or taken in error
    • underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed
    Note
    • The drug giving rise to the adverse effect should be identified by use of codes from categories T36-T50 with fifth or sixth character 5.
    Type 1 Excludes
    • toxic reaction to local anesthesia in pregnancy (O29.3-)
    Type 2 Excludes
    • abuse and dependence of psychoactive substances (F10-F19)
    • abuse of non-dependence-producing substances (F55.-)
    • drug reaction and poisoning affecting newborn (P00-P96)
    • pathological drug intoxication (inebriation) (F10-F19)
    Use Additional
    • code(s) to specify:
    • manifestations of poisoning
    • underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9)
    • underdosing of medication regimen (Z91.12-, Z91.13-)
    • T36 Poisoning by, adverse effect of and unde...
    • T37 Poisoning by, adverse effect of and unde...
    • T38 Poisoning by, adverse effect of and unde...
    • T39 Poisoning by, adverse effect of and unde...
    • T40 Poisoning by, adverse effect of and unde...
    • T41 Poisoning by, adverse effect of and unde...
    • T42 Poisoning by, adverse effect of and unde...
    • T43 Poisoning by, adverse effect of and unde...
    • T44 Poisoning by, adverse effect of and unde...
    • T45 Poisoning by, adverse effect of and unde...
    • T46 Poisoning by, adverse effect of and unde...
    • T47 Poisoning by, adverse effect of and unde...
    • T48 Poisoning by, adverse effect of and unde...
    • T49 Poisoning by, adverse effect of and unde...
    • T50 Poisoning by, adverse effect of and unde...
    with fifth or sixth character 5)
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (L23.3) and the excluded code together.
  • dermatitis due to ingested drugs and medicaments (
    ICD-10-CM Diagnosis Code L27.0

    Generalized skin eruption due to drugs and medicaments taken internally

      2016 2017 2018 Billable/Specific Code
    Use Additional
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
    L27.0-
    ICD-10-CM Diagnosis Code L27.1

    Localized skin eruption due to drugs and medicaments taken internally

      2016 2017 2018 Billable/Specific Code
    Use Additional
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
    L27.1
    )
The following code(s) above L23.3 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to L23.3:
  • L00-L99
    2018 ICD-10-CM Range L00-L99

    Diseases of the skin and subcutaneous tissue

    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • lipomelanotic reticulosis (I89.8)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    • systemic connective tissue disorders (M30-M36)
    • viral warts (B07.-)
    Diseases of the skin and subcutaneous tissue
  • L20-L30
    2018 ICD-10-CM Range L20-L30

    Dermatitis and eczema

    Note
    • In this block the terms dermatitis and eczema are used synonymously and interchangeably.
    Type 2 Excludes
    • chronic (childhood) granulomatous disease (D71)
    • dermatitis gangrenosa (L08.0)
    • dermatitis herpetiformis (L13.0)
    • dry skin dermatitis (L85.3)
    • factitial dermatitis (L98.1)
    • perioral dermatitis (L71.0)
    • radiation-related disorders of the skin and subcutaneous tissue (L55-L59)
    • stasis dermatitis (I87.2)
    Dermatitis and eczema
  • L23
    ICD-10-CM Diagnosis Code L23

    Allergic contact dermatitis

      2016 2017 2018 Non-Billable/Non-Specific Code
    Type 1 Excludes
    Type 2 Excludes
    • dermatitis due to substances taken internally (L27.-)
    • dermatitis of eyelid (H01.1-)
    • diaper dermatitis (L22)
    • eczema of external ear (H60.5-)
    • irritant contact dermatitis (L24.-)
    • perioral dermatitis (L71.0)
    • radiation-related disorders of the skin and subcutaneous tissue (L55-L59)
    Allergic contact dermatitis
Approximate Synonyms ICD-10-CM L23.3 is grouped within Diagnostic Related Group(s) (MS-DRG v35.0):

Convert L23.3 to ICD-9-CM

Code History
Code annotations containing back-references to L23.3:

Diagnosis Index entries containing back-references to L23.3:

ICD-10-CM Codes Adjacent To L23.3
L21 Seborrheic dermatitis
L21.0 Seborrhea capitis
L21.1 Seborrheic infantile dermatitis
L21.8 Other seborrheic dermatitis
L21.9 Seborrheic dermatitis, unspecified
L22 Diaper dermatitis
L23 Allergic contact dermatitis
L23.0 Allergic contact dermatitis due to metals
L23.1 Allergic contact dermatitis due to adhesives
L23.2 Allergic contact dermatitis due to cosmetics
L23.3 Allergic contact dermatitis due to drugs in contact with skin
L23.4 Allergic contact dermatitis due to dyes
L23.5 Allergic contact dermatitis due to other chemical products
L23.6 Allergic contact dermatitis due to food in contact with the skin
L23.7 Allergic contact dermatitis due to plants, except food
L23.8 Allergic contact dermatitis due to other agents
L23.81 Allergic contact dermatitis due to animal (cat) (dog) dander
L23.89 Allergic contact dermatitis due to other agents
L23.9 Allergic contact dermatitis, unspecified cause
L24 Irritant contact dermatitis
L24.0 Irritant contact dermatitis due to detergents

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.