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L24.B1 vs L25.9

L24.B1 (Irritant contact dermatitis related to digestive stoma or fistula) compared with L25.9 (Unspecified contact dermatitis, unspecified cause), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. L24.B1 carries an Excludes1 note covering L25.9: “contact dermatitis NOS (L25.9)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. L25.9 carries an Excludes1 note covering L24.B1: “irritant contact dermatitis (L24.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

L24.B1Irritant contact dermatitis related to digestive stoma or fistulaL25.9Unspecified contact dermatitis, unspecified cause
Billing statusBillableBillable
ClassificationL00-L99 — Diseases of the Skin and Subcutaneous Tissue (L00-L99)L00-L99 — Diseases of the Skin and Subcutaneous Tissue (L00-L99)
DefinitionIrritant contact dermatitis related to digestive stoma or fistula is a billable ICD-10-CM diagnosis code (L24.B1).Unspecified contact dermatitis, unspecified cause is a billable ICD-10-CM diagnosis code (L25.9).
Includes
Irritant contact dermatitis related to gastrostomy
Irritant contact dermatitis related to jejunostomy
Irritant contact dermatitis related to saliva or spit fistula
Contact dermatitis (occupational) NOS
Contact eczema (occupational) NOS
Use additional code
code to identify any artificial opening status (Z93.-), if applicable, for contact dermatitis related to stoma secretions

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