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ICD-10/L24.B3

L24.B3 ICD-10-CM Code: Irritant contact dermatitis related to fecal or urinary stoma or fistula

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

  • MS-DRG 606 — MINOR SKIN DISORDERS WITH MCC (MDC 09)
  • MS-DRG 607 — MINOR SKIN DISORDERS WITHOUT MCC (MDC 09)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Official Registry Overview & Definition

Irritant contact dermatitis related to fecal or urinary stoma or fistula is a billable ICD-10-CM diagnosis code (L24.B3).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for L24.B3 in the official ICD-10-CM tabular list.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Irritant contact dermatitis related to colostomy
  • Irritant contact dermatitis related to enterocutaneous fistula
  • Irritant contact dermatitis related to ileostomy

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • Use additional code to identify any artificial opening status (Z93.-), if applicable, for contact dermatitis related to stoma secretions

Change history

  • FY2022 — 2021-10-01
    Added to the code set
    Irritant contact dermatitis related to fecal or urinary stoma or fistula
    FY2022 changes

Verify Before Coding

  • Billable — reportable as written.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Contextual Map

Every relationship of L24.B3 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • L00-L99 — Chapter 12: Diseases of the Skin and Subcutaneous Tissue (L00-L99) (L00-L99) [Hierarchy]
  • L20-L30 — Dermatitis and eczema [Hierarchy]

Referenced by Excludes1 notes

  • L24.A — Irritant contact dermatitis due to friction or contact with body fluids [Excludes1](via L24.B.-): “irritant contact dermatitis related to stoma or fistula (L24.B-)” · check together
  • L25 — Unspecified contact dermatitis [Excludes1](via L24.-): “irritant contact dermatitis (L24.-)” · check together

Referenced by Excludes2 notes

  • L23 — Allergic contact dermatitis [Excludes2](via L24.-): “irritant contact dermatitis (L24.-)” · check together

Clinical classification (CCSR)

  • SKN005 — Contact dermatitis [CCSR]

Potential MS-DRG

  • DRG 606 — MINOR SKIN DISORDERS WITH MCC [MS-DRG]: “MINOR SKIN DISORDERS WITH MCC (MDC 09)”
  • DRG 607 — MINOR SKIN DISORDERS WITHOUT MCC [MS-DRG]: “MINOR SKIN DISORDERS WITHOUT MCC (MDC 09)”

MDC crossing · procedures (7376)

  • MDC 09 — Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast [MDC crossing]: “Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • 0315090 — Bypass Right Axillary Artery to Right Upper Arm Artery with Autologous Venous Tissue, Open Approach [Same-MDC procedure]: “Bypass Right Axillary Artery to Right Upper Arm Artery with Autologous Venous Tissue, Open Approach — grouped in MDC 09, the procedure side of this code's crossing.” · check together
  • 031509W — Bypass Right Axillary Artery to Lower Extremity Vein with Autologous Venous Tissue, Open Approach [Same-MDC procedure]: “Bypass Right Axillary Artery to Lower Extremity Vein with Autologous Venous Tissue, Open Approach — grouped in MDC 09, the procedure side of this code's crossing.” · check together
  • 03150A0 — Bypass Right Axillary Artery to Right Upper Arm Artery with Autologous Arterial Tissue, Open Approach [Same-MDC procedure]: “Bypass Right Axillary Artery to Right Upper Arm Artery with Autologous Arterial Tissue, Open Approach — grouped in MDC 09, the procedure side of this code's crossing.” · check together
  • 03150AW — Bypass Right Axillary Artery to Lower Extremity Vein with Autologous Arterial Tissue, Open Approach [Same-MDC procedure]: “Bypass Right Axillary Artery to Lower Extremity Vein with Autologous Arterial Tissue, Open Approach — grouped in MDC 09, the procedure side of this code's crossing.” · check together
  • 03150J0 — Bypass Right Axillary Artery to Right Upper Arm Artery with Synthetic Substitute, Open Approach [Same-MDC procedure]: “Bypass Right Axillary Artery to Right Upper Arm Artery with Synthetic Substitute, Open Approach — grouped in MDC 09, the procedure side of this code's crossing.” · check together
  • and 7371 more

Index entries

  • Dermatitis (eczematous), contact (occupational), irritant, related to, colostomy[Index term]
  • Dermatitis (eczematous), contact (occupational), irritant, related to, enterocutaneous fistula[Index term]
  • Dermatitis (eczematous), contact (occupational), irritant, related to, ileostomy[Index term]
  • Dermatitis (eczematous), contact (occupational), irritant, related to, stoma or fistula, fecal or urinary[Index term]

Nearest codes (22)

  • L24 — Irritant contact dermatitis [Sibling]
  • L24.0 — Irritant contact dermatitis due to detergents [Sibling]
  • L24.1 — Irritant contact dermatitis due to oils and greases [Sibling]
  • L24.2 — Irritant contact dermatitis due to solvents [Sibling]
  • L24.3 — Irritant contact dermatitis due to cosmetics [Sibling]
  • L24.4 — Irritant contact dermatitis due to drugs in contact with skin [Sibling]
  • L24.5 — Irritant contact dermatitis due to other chemical products [Sibling]
  • L24.6 — Irritant contact dermatitis due to food in contact with skin [Sibling]
  • and 14 more

Change history

  • FY2022 — Added to the code set [Change history]

Referenced by Other Codes

Clinical classification (AHRQ CCSR):SKN005 — Contact dermatitis (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Potential MS-DRG Relationships (FY2026)

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 2 MS-DRGs: DRG 606 (MDC 09), DRG 607 (MDC 09).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Official ICD-10-CM tabular notes on other codes that name L24.B3 or its code family.

2 Excludes1 notes: L24.A (via L24.B.-), L25 (via L24.-).

1 Excludes2 notes: L23 (via L24.-).

Nearest Codes in This Family

Official ICD-10-CM classifications closest to L24.B3 in its code family, with their registry titles.

  • L24.9 — Irritant contact dermatitis, unspecified cause
  • L24.A — Irritant contact dermatitis due to friction or contact with body fluids
  • L24.A0 — Irritant contact dermatitis due to friction or contact with body fluids, unspecified
  • L24.A1 — Irritant contact dermatitis due to saliva
  • L24.A2 — Irritant contact dermatitis due to fecal, urinary or dual incontinence
  • L24.A9 — Irritant contact dermatitis due friction or contact with other specified body fluids
  • L24.B — Irritant contact dermatitis related to stoma or fistula
  • L24.B0 — Irritant contact dermatitis related to unspecified stoma or fistula
  • L24.B1 — Irritant contact dermatitis related to digestive stoma or fistula
  • L24.B2 — Irritant contact dermatitis related to respiratory stoma or fistula

View all codes in the L24 family

Indexed Clinical Terms (4)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Dermatitis (eczematous), contact (occupational), irritant, related to, colostomy
  • Dermatitis (eczematous), contact (occupational), irritant, related to, enterocutaneous fistula
  • Dermatitis (eczematous), contact (occupational), irritant, related to, ileostomy
  • Dermatitis (eczematous), contact (occupational), irritant, related to, stoma or fistula, fecal or urinary