R23.4
Billable

Changes in skin texture

Billable / Specific Code

What is Changes in skin texture?

ICD-10-CM R23.4 is the diagnosis code for Changes in skin texture. This code falls under the section "Symptoms and signs involving the skin and subcutaneous tissue" within Chapter 18 — Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

💡 Inclusions
⛔ Excludes1

Coding Guidelines for R23.4

✅ This Code Includes

  • Desquamation of skin
  • Induration of skin
  • Scaling of skin

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as R23.4. They are mutually exclusive:

  • epidermal thickening NOS (L85.9)

ICD-10-CM Code Hierarchy

Understanding where R23.4 sits in the ICD-10-CM classification helps ensure proper coding:

Related Codes

Frequently Asked Questions

Is R23.4 a billable ICD-10-CM code?

Yes, R23.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does R23.4 mean?

R23.4 is the ICD-10-CM diagnosis code for "Changes in skin texture". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of R23.4?

The parent code of R23.4 is R23 ("Other skin changes"). R23.4 provides a more specific classification within this category.

What section is R23.4 in?

R23.4 is located in Section R20-R23 — "Symptoms and signs involving the skin and subcutaneous tissue" within Chapter 18 of the ICD-10-CM Tabular List.

When should I use R23.4?

Use R23.4 when the patients documented diagnosis matches "Changes in skin texture" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Changes in skin texture?

The ICD-10-CM code for Changes in skin texture is R23.4.

Can R23.4 be used for primary diagnosis?

Yes, R23.4 can be used as a primary diagnosis code since it is billable and specific.

What chapter is R23.4 in?

R23.4 is in Chapter 18 of the ICD-10-CM Tabular List.

What conditions are excluded from R23.4?

Type 1 Excludes for R23.4 include: epidermal thickening NOS (L85.9).

Is R23.4 valid for 2026?

Yes, R23.4 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousR23.3Spontaneous ecchymosesNext →R23.8Other skin changes
Code Details
R23.4
Changes in skin texture
Billable / Specific Code
18 — Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
R20-R23 — Symptoms and signs involving the skin and subcutaneous tissue
2026 ICD-10-CM