ICD-10 Code L94.5 – Poikiloderma vasculare atrophicans (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code L94.5 – Poikiloderma vasculare atrophicans
What it is
L94.5 identifies poikiloderma vasculare atrophicans, a chronic skin condition marked by a mix of pigment change, visible small vessels, and skin thinning. Use it when documentation names this specific diagnosis.
Clinical signs
Typical findings include mottled discoloration, telangiectatic vessels, and atrophic or thinned skin in affected areas. Clinical features vary; refer to documentation if the record is not explicit.
When to use this code
Use L94.5 when the provider documents poikiloderma vasculare atrophicans by name, or clearly describes the condition with the characteristic triad. It is appropriate for confirmed dermatology assessments and problem-list coding. Check documentation if the note only mentions nonspecific rash, pigmentation change, or skin atrophy.
Do not use for
Do not use this code for unrelated pigment disorders, simple telangiectasia, or generalized skin atrophy without the named diagnosis. If the chart does not support poikiloderma vasculare atrophicans, check documentation.
Coding tip
Code the diagnosis only when the provider states it clearly; otherwise, query for specificity before assigning L94.5.