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ICD-10-CM 2027

ICD-10 code for Tattoo pigmentation

L81.8

Other specified disorders of pigmentation

✓ Billable / specific

From the official ICD-10-CM alphabetic index entry “Pigmentation (abnormal) (anomaly) › tattoo”. Page updated September 29, 2026.

About coding Tattoo pigmentation

The ICD-10-CM code for Tattoo pigmentation is L81.8 (Other specified disorders of pigmentation).

Within L81, choose L81.8 (Other specified disorders of pigmentation) only when documentation doesn't support a more specific option: postinflammatory hyperpigmentation (L81.0), Chloasma (L81.1), Freckles (L81.2), 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) 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.

Common questions about Tattoo pigmentation ICD-10 codes

What is the ICD-10 code for Tattoo pigmentation?

L81.8 — Other specified disorders of pigmentation.

Is L81.8 billable?

Yes. L81.8 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can L81.8 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict L81.8 as a principal diagnosis.

Is L81.8 a CC or MCC?

No. L81.8 is neither a CC nor an MCC under MS-DRG v44.0.