DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

R23 Other skin changes

  • Header · not billable

R23 is not billable. The category heads 7 billable codes in FY2027: the 7 codes directly below it.

Index → code

Where it sits

  1. Chapter 18 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
  2. R20-R23 Symptoms and signs involving the skin and subcutaneous tissue (R20-R23)
  3. R23 Other skin changes
Billable codes
7
Subdivisions
7
CC / MCC codes
0 / 0
HCC V28 codes
0
New FY2027
0
Index entries
54

Codes in R23

  1. R23.0
    Cyanosis
    Billable
    Excludes1 2

    Excludes1

    • acrocyanosis (I73.8) I73.8
    • cyanotic attacks of newborn (P28.2) P28.2
  2. R23.1
    Pallor
    Billable
    Inclusion terms 1

    Inclusion terms

    • Clammy skin
  3. R23.2
    Flushing
    Billable
    Inclusion terms 1, Code first 1

    Inclusion terms

    • Excessive blushing

    Code first

    • , if applicable, menopausal and female climacteric states (N95.1) N95.1
  4. R23.3
    Spontaneous ecchymoses
    Billable
    Inclusion terms 1, Excludes1 2

    Inclusion terms

    • Petechiae

    Excludes1

    • ecchymoses of newborn (P54.5) P54.5
    • purpura (D69.-) D69
  5. R23.4
    Changes in skin texture
    Billable
    Inclusion terms 3, Excludes1 1

    Inclusion terms

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

    Excludes1

    • epidermal thickening NOS (L85.9) L85.9
  6. R23.8
    Other skin changes
    Billable
  7. R23.9
    Unspecified skin changes
    Billable

Sources of each column.

Instructions

Notes that also apply

Block R20-R23 instructions (Excludes2 1): printed on the block page.

Chapter 18 instructions (Notes 9, Excludes2 4): printed on the chapter 18 page.

Index entries

  • Cyanosis → R23.0
  • Clammy skin → R23.1
  • Livedo (annularis) (racemosa) (reticularis) → R23.1
  • Pallor → R23.1
  • Blushing (abnormal) (excessive) → R23.2
  • Flushing → R23.2
  • Plethora → R23.2
  • Petechia, petechiae → R23.3
  • Purpuric spots → R23.3
  • Crusts → R23.4
  • Desquamation, skin → R23.4
  • Inelasticity, skin → R23.4
  • Parakeratosis → R23.4
  • Scabs → R23.4
  • Scales → R23.4
  • Scaling, skin → R23.4
  • Bleb(s) → R23.8
  • Bulla(e) → R23.8
  • Hydroa → R23.8
  • Papule(s) → R23.8
  • Pimple → R23.8
  • Xanthosis → R23.8
  • Asphyxia, asphyxiation (by)reticularis → R23.1
  • Skinclammy → R23.1
  • Cutaneoushemorrhage → R23.3
  • Ecchymosisspontaneous → R23.3
  • Hemorrhage, hemorrhagic (concealed)cutaneous → R23.3
  • Hemorrhage, hemorrhagic (concealed)petechial → R23.3
  • Hemorrhage, hemorrhagic (concealed)skin → R23.3
  • Hemorrhage, hemorrhagic (concealed)subcutaneous → R23.3
  • Spots, spotting (in) (of)purpuric → R23.3
  • Fissure, fissuredskin → R23.4
  • Induration, induratedskin → R23.4
  • Loss (of)elasticity, skin → R23.4
  • Thickeningskin → R23.4
  • Blister (nonthermal)multiple, skin, nontraumatic → R23.8
  • Cutismarmorata → R23.8
  • Depositskin → R23.8
  • Eruptionringed → R23.8
  • Eruptionvesicular → R23.8

14 more, longer entries are not listed; the search box finds them by word.

NCHS Alphabetic Index. Index first, then the Tabular List.

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