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L20.8 vs L28.0

L20.8 (Other atopic dermatitis) compared with L28.0 (Lichen simplex chronicus), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. L20.8 carries an Excludes2 note covering L28.0: “circumscribed neurodermatitis (L28.0)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

L20.8Other atopic dermatitisL28.0Lichen simplex chronicus
Billing statusNon-billable header

Report instead: L20.81, L20.82, L20.83, L20.84, L20.89

Billable
ClassificationL00-L99 — Diseases of the Skin and Subcutaneous Tissue (L00-L99)L00-L99 — Diseases of the Skin and Subcutaneous Tissue (L00-L99)
DefinitionOther atopic dermatitis is a non-billable ICD-10-CM category code (L20.8).Lichen simplex chronicus is a billable ICD-10-CM diagnosis code (L28.0).
Includes
Circumscribed neurodermatitis
Lichen NOS

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources