Skip to main content

L98.0 ICD-10-CM Code: Pyogenic granuloma

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

Coding at a Glance

Tabular directives
3 Excludes2

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

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

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.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for L98.0 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025

Excludes2 — Not Included Here

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

Coder workflow for L98.0

MedCoder structured workflow — derived from this code’s own official record

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).

Official instructions as workflow

  • Excludes2 — not part of L98.0(3 notes)

    Coding workflow: The conditions named in this note are not included in L98.0. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareK06.8, K04.5, K13.4

    See the official tabular notes · Guidelines I.A.12.b

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Code Overview

Pyogenic granuloma is a billable ICD-10-CM diagnosis code (L98.0).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Indexed Clinical Terms (6)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

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

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name L98.0 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 8 Excludes2 notes: L00 — Staphylococcal scalded skin syndrome, L00-L08 — Infections of the skin and subcutaneous tissue (L00-L08), L01 — Impetigo, L02 — Cutaneous abscess, furuncle and carbuncle, L03 — Cellulitis and acute lymphangitis, L04 — Acute lymphadenitis, L05 — Pilonidal cyst and sinus, L08 — Other local infections of skin and subcutaneous tissue.

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

Referenced by 5 Use Additional Code instructions: E08.622 — Diabetes mellitus due to underlying condition with other skin ulcer (via L98.-), E09.622 — Drug or chemical induced diabetes mellitus with other skin ulcer (via L98.-), E10.622 — Type 1 diabetes mellitus with other skin ulcer (via L98.-), E11.622 — Type 2 diabetes mellitus with other skin ulcer (via L98.-), E13.622 — Other specified diabetes mellitus with other skin ulcer (via L98.-).

These codes instruct coders to additionally report this code when it applies.

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

FY2026 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

Named in the grouper logic of 2 MS-DRGs: DRG 602 (MDC 09), DRG 603 (MDC 09).

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

Clinical classification (AHRQ CCSR):SKN007 — Other specified and unspecified skin disorders (default).

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

Related Codes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Other specified and unspecified skin disorders).

L91.9 — Hypertrophic disorder of the skin, unspecified, L92.1 — Necrobiosis lipoidica, not elsewhere classified, L92.2 — Granuloma faciale [eosinophilic granuloma of skin], L92.3 — Foreign body granuloma of the skin and subcutaneous tissue, L92.8 — Other granulomatous disorders of the skin and subcutaneous tissue, L92.9 — Granulomatous disorder of the skin and subcutaneous tissue, unspecified, L94.0 — Localized scleroderma [morphea], L94.1 — Linear scleroderma, L94.2 — Calcinosis cutis, L94.3 — Sclerodactyly, L94.4 — Gottron's papules, L94.6 — Ainhum, L94.8 — Other specified localized connective tissue disorders, L94.9 — Localized connective tissue disorder, unspecified, L98.5 — Mucinosis of the skin, L98.6 — Other infiltrative disorders of the skin and subcutaneous tissue, L98.7 — Excessive and redundant skin and subcutaneous tissue, L98.8 — Other specified disorders of the skin and subcutaneous tissue, L98.9 — Disorder of the skin and subcutaneous tissue, unspecified, L99 — Other disorders of skin and subcutaneous tissue in diseases classified elsewhere, +137 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Granuloma”; these codes share that main term but sit in a different category of the Tabular List.

K62.89 — Other specified diseases of anus and rectum (rectum), K63.89 — Other specified diseases of intestine (colon), K66.8 — Other specified disorders of peritoneum (abdomen), K75.3 — Granulomatous hepatitis, not elsewhere classified (hepatic NEC), L57.5 — Actinic granuloma (actinic), L74.8 — Other eccrine sweat disorders (rubrum nasi), L92.0 — Granuloma annulare (annulare), L92.2 — Granuloma faciale [eosinophilic granuloma of skin] (facial), L92.3 — Foreign body granuloma of the skin and subcutaneous tissue (silica), L92.9 — Granulomatous disorder of the skin and subcutaneous tissue, unspecified, M27.1 — Giant cell granuloma, central (jaw), M31.2 — Lethal midline granuloma (midline), M60.20 — Foreign body granuloma of soft tissue, not elsewhere classified, unspecified site (foreign body NEC), M60.21 — Foreign body granuloma of soft tissue, not elsewhere classified, shoulder (foreign body NEC, shoulder region), M60.22 — Foreign body granuloma of soft tissue, not elsewhere classified, upper arm (foreign body NEC, upper arm), M60.23 — Foreign body granuloma of soft tissue, not elsewhere classified, forearm (foreign body NEC, forearm), M60.24 — Foreign body granuloma of soft tissue, not elsewhere classified, hand (foreign body NEC, hand), M60.25 — Foreign body granuloma of soft tissue, not elsewhere classified, thigh (foreign body NEC, thigh), M60.26 — Foreign body granuloma of soft tissue, not elsewhere classified, lower leg (foreign body NEC, lower leg), M60.27 — Foreign body granuloma of soft tissue, not elsewhere classified, ankle and foot (foreign body NEC, foot), +41 more

Lab tests where this diagnosis supports Medicare coverage (NCD)

Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.

Blood Glucose Test

Contextual Map

Every relationship of L98.0 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.

Run L98.0 with these 16 related codes in Claim Check

Hierarchy

Excludes2

Referenced by Excludes2 notes

Referenced by Use Additional Code instructions

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • 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. 7,376 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026

Index entries

  • Granuloma, abdomen, pyogenicum[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Granuloma, pyogenic, pyogenicum (of) (skin)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Granuloma, septic (skin)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Granuloma, skin, pyogenicum[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Granuloma, suppurative (skin)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Granuloma, telangiectaticum (skin)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes (40)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "L98.0 — Pyogenic granuloma." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/l98.0-pyogenic-granuloma

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Pyogenic granuloma

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to L98.0 in its code family, with their registry titles.

View all codes in the L98 family