ICD-10-CM 2027
ICD-10 code for Freckle
From the official ICD-10-CM alphabetic index entry “Freckle (s)”. Page updated September 29, 2026.
About coding Freckle
The ICD-10-CM code for Freckle is L81.2 (Freckles). The official index lists 1 more specific code, so check the documentation for details such as type, cause, site or severity before settling on L81.2.
Within L81 (other disorders of pigmentation), L81.2 is specifically for Freckles. Related codes cover postinflammatory hyperpigmentation (L81.0), Chloasma (L81.1), cafe au lait spots (L81.3), other melanin hyperpigmentation (L81.4), Leukoderma, not elsewhere classified (L81.5), other disorders of diminished melanin formation (L81.6), pigmented purpuric dermatosis (L81.7), other specified disorders of pigmentation (L81.8) and 1 more.
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
In MS-DRG v44.0, it is part of the grouping logic for DRG 606 (Minor Skin Disorders with MCC, relative weight 1.5728), DRG 607 (Minor Skin Disorders without MCC, relative weight 0.8772) and DRG 795 (Normal Newborn, relative weight 0.2022), in MDC 09 (Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast) and MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
More specific Freckle codes (official index)
- malignant melanoma in
- melanotic (Hutchinson's)
- retinal D49.81 — Neoplasm of unspecified behavior of retina and choroid
Common questions about Freckle ICD-10 codes
What is the ICD-10 code for Freckle?
- L81.2 — Freckles. More specific codes apply when the documentation supports them: D49.81.
What is the ICD-10 code for retinal freckle?
- D49.81 — Neoplasm of unspecified behavior of retina and choroid.
Is L81.2 billable?
- Yes. L81.2 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can L81.2 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict L81.2 as a principal diagnosis.
Is L81.2 a CC or MCC?
- No. L81.2 is neither a CC nor an MCC under MS-DRG v44.0.