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ICD-10-CM Code R23.4
Changes in skin texture

Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
| ICD-10 from 2011 - 2016

R23.4 is a billable ICD code used to specify a diagnosis of changes in skin texture. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

The ICD code R234 is used to code Desquamation

Desquamation (from Latin desquamare, meaning "to scrape the scales off a fish"), also called skin peeling, is the shedding of the outermost membrane or layer of a tissue, such as the skin.

Peeling skin.

Source: Wikipedia

Coding Notes for R23.4 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms:
Inclusion Terms
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
Desquamation of skin
Induration of skin
Scaling of skin
Code Type-1 Excludes:
Type-1 Excludes
Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here."
Epidermal thickening NOS - instead, use code L85.9

MS-DRG Mapping

  • DRG Group #606-607 - Minor skin disorders with MCC.
  • DRG Group #606-607 - Minor skin disorders without MCC.

Related Concepts SNOMET-CT

  • Parakeratosis (disorder)
  • Recurrent focal palmar peeling (disorder)

Coding Advice SNOMET-CT

  • Possible requirement for an external cause code

ICD-10-CM Alphabetical Index References for 'R23.4 - Changes in skin texture'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code R23.4. Click on any term below to browse the alphabetical index.

Scabs (R23.4)
Scales (R23.4)
Scaling, skin (R23.4)
Parakeratosis (R23.4)
Inelasticity, skin (R23.4)
Desquamation, skin (R23.4)


Changes in skin texture (exact match)

This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 782.8 was previously used, R23.4 is the appropriate modern ICD10 code.

Parent Code: R23 - Other skin changes

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/R234