2021 ICD-10-CM Diagnosis Code L81.4

Other melanin hyperpigmentation

    2016 2017 2018 2019 2020 2021 Billable/Specific Code
  • L81.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2021 edition of ICD-10-CM L81.4 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of L81.4 - other international versions of ICD-10 L81.4 may differ.
Applicable To
  • Lentigo
The following code(s) above L81.4 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 L81.4:
  • L00-L99
    2021 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
  • L81
    ICD-10-CM Diagnosis Code L81

    Other disorders of pigmentation

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • birthmark NOS (Q82.5)
    • Peutz-Jeghers syndrome (Q85.8)
    Type 2 Excludes
    • nevus - see Alphabetical Index
    Other disorders of pigmentation
Approximate Synonyms
  • Lentigo
  • Lentigo (brown spot on skin)
  • Lentigo solaris (brown spot on skin from sun)
  • Melanosis of vulva
  • Senile lentigo
Clinical Information
  • Small circumscribed melanoses resembling, but differing histologically from, freckles. The concept includes senile lentigo ('liver spots') and nevoid lentigo (nevus spilus, lentigo simplex) and may also occur in association with multiple congenital defects or congenital syndromes (e.g., peutz-jeghers syndrome).
ICD-10-CM L81.4 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 606 Minor skin disorders with mcc
  • 607 Minor skin disorders without mcc
  • 795 Normal newborn

Convert L81.4 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
Code annotations containing back-references to L81.4:
  • Type 2 Excludes: Q82.5
    ICD-10-CM Diagnosis Code Q82.5

    Congenital non-neoplastic nevus

      2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    Applicable To
    • Birthmark NOS
    • Flammeus Nevus
    • Portwine Nevus
    • Sanguineous Nevus
    • Strawberry Nevus
    • Vascular Nevus NOS
    • Verrucous Nevus
    Type 2 Excludes

Diagnosis Index entries containing back-references to L81.4:

ICD-10-CM Codes Adjacent To L81.4
L76.34 Postprocedural seroma of skin and subcutaneous tissue following other procedure
L76.8 Other intraoperative and postprocedural complications of skin and subcutaneous tissue
L76.81 Other intraoperative complications of skin and subcutaneous tissue
L76.82 Other postprocedural complications of skin and subcutaneous tissue
L80 Vitiligo
L81 Other disorders of pigmentation
L81.0 Postinflammatory hyperpigmentation
L81.1 Chloasma
L81.2 Freckles
L81.3 Café au lait spots
L81.4 Other melanin hyperpigmentation
L81.5 Leukoderma, not elsewhere classified
L81.6 Other disorders of diminished melanin formation
L81.7 Pigmented purpuric dermatosis
L81.8 Other specified disorders of pigmentation
L81.9 Disorder of pigmentation, unspecified
L82 Seborrheic keratosis
L82.0 Inflamed seborrheic keratosis
L82.1 Other seborrheic keratosis
L83 Acanthosis nigricans
L84 Corns and callosities

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