ICD-10 Code L81.2 – Freckles (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code L81.2 – Freckles
What it is
L81.2 identifies freckles, which are small, flat, light-brown pigmented spots on the skin. They are usually benign and commonly appear on sun-exposed areas.
Clinical signs
Freckles are typically multiple, small macules with uniform color and no elevation. They often darken with sun exposure and may fade when exposure decreases; clinical features vary; refer to documentation.
When to use this code
Use L81.2 when the record documents freckles as the diagnosis or the reason for evaluation. It may also fit when freckles are noted as a stable skin finding without another more specific pigmentation disorder. Check documentation if the note describes lentigines, melasma, or another lesion instead.
Do not use for
Do not use this code for other pigment changes, such as lentigines or generalized hyperpigmentation. If the documentation is unclear or the lesion type is different, check documentation.
Coding tip
Code L81.2 only when the provider specifically documents freckles; otherwise, verify the skin finding before assigning the code.