Keratoderma in diseases classified elsewhere L86- >

Code First
Code First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, 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.
  • underlying disease, such as:
  • Reiter's disease (
    ICD-10-CM Diagnosis Code M02.3

    Reiter's disease

      2016 2017 2018 Non-Billable/Non-Specific Code
    Applicable To
    • Reactive arthritis
    M02.3-
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as L86. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • gonococcal keratoderma (
    ICD-10-CM Diagnosis Code A54.89

    Other gonococcal infections

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Gonococcal keratoderma
    • Gonococcal lymphadenitis
    A54.89
    )
  • gonococcal keratosis (
    ICD-10-CM Diagnosis Code A54.89

    Other gonococcal infections

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Gonococcal keratoderma
    • Gonococcal lymphadenitis
    A54.89
    )
  • keratoderma due to vitamin A deficiency (
    ICD-10-CM Diagnosis Code E50.8

    Other manifestations of vitamin A deficiency

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Follicular keratosis
    • Xeroderma
    E50.8
    )
  • keratosis due to vitamin A deficiency (
    ICD-10-CM Diagnosis Code E50.8

    Other manifestations of vitamin A deficiency

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Follicular keratosis
    • Xeroderma
    E50.8
    )
  • xeroderma due to vitamin A deficiency (
    ICD-10-CM Diagnosis Code E50.8

    Other manifestations of vitamin A deficiency

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Follicular keratosis
    • Xeroderma
    E50.8
    )
Codes