ICD-10 Code L24.4 – Irritant contact dermatitis due to drugs in contact with skin (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Irritant contact dermatitis due to drugs in contact with skin is L24.4.
2026 ICD-10-CM Diagnosis Code L24.4 – Irritant contact dermatitis due to drugs in contact with skin

What it is

L24.4 identifies irritant contact dermatitis caused by drugs touching the skin. Use it when the skin reaction is due to direct irritation, not an allergic response.

Clinical signs

Typical findings include localized redness, dryness, burning, stinging, or scaling at the contact site. Clinical features vary; refer to documentation.

When to use this code

Use L24.4 when documentation states a drug applied to or contacting the skin caused an irritant dermatitis. This may include reactions after topical medication exposure or accidental skin contact. Code only when the provider links the dermatitis to the drug and describes an irritant mechanism.

Do not use for

Do not use this code for allergic contact dermatitis or unspecified dermatitis. Check documentation if the reaction is from ingestion, injection, or another non-skin route.

Coding tip

Confirm both the causative drug and the irritant nature of the dermatitis in the record before assigning L24.4.

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