L98.7: Excessive and redundant skin and subcutaneous tissue
L98.7, excessive and redundant skin and subcutaneous tissue, is listed as a covered diagnosis in 3 Medicare billing and coding articles that apply to 4 HCPCS Level II codes, including Q2028 (Injection, sculptra, 0.5 mg), G0429 (Dermal filler injection(s) for the treatment of facial…), Q2026 (Injection, radiesse, 0.1 ml). The articles come from 3 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.
HCPCS Level II codes with L98.7 as a covered diagnosis
| Code | Description | Medicare coverage | DMEPOS fee 2026 (state range) | Articles listing it |
|---|---|---|---|---|
| Q2028 | Injection, sculptra, 0.5 mg | Special coverage instructions apply | — | 2 |
| G0429 | Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (lds) (e.g., as a result of highly active antiretroviral therapy) | Carrier judgment | — | 2 |
| Q2026 | Injection, radiesse, 0.1 ml | Special coverage instructions apply | — | 2 |
| G0127 | Trimming of dystrophic nails, any number | Special coverage instructions apply | — | 1 |
Medicare policy articles listing L98.7
- A59299: Billing and Coding: Cosmetic and Reconstructive Surgery (CGS Administrators, LLC (MAC - Part A, MAC - Part B); 3 Level II codes). LCD with the same title: L33428, L35090, L38914, L39051
- A58774: Billing and Coding: Cosmetic and Reconstructive Surgery (WPS Insurance Corporation (MAC - Part A, MAC - Part B); 3 Level II codes). LCD with the same title: L33428, L35090, L38914, L39051
- A57954: Billing and Coding: Routine Foot Care (Noridian Healthcare Solutions, LLC (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L33941, L35138, L37643
A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.
Other L98 diagnoses (Other disorders of skin and subcutaneous tissue, not elsewhere classified)
- L98.3 — Eosinophilic cellulitis [Wells]
- L98.412 — Non-pressure chronic ulcer of buttock with fat layer exposed
- L98.413 — Non-pressure chronic ulcer of buttock with necrosis of muscle
- L98.414 — Non-pressure chronic ulcer of buttock with necrosis of bone
- L98.415 — Non-pressure chronic ulcer of buttock with muscle involvement…
- L98.416 — Non-pressure chronic ulcer of buttock with bone involvement without…
- L98.418 — Non-pressure chronic ulcer of buttock with other specified severity
- L98.422 — Non-pressure chronic ulcer of back with fat layer exposed
- L98.423 — Non-pressure chronic ulcer of back with necrosis of muscle
- L98.424 — Non-pressure chronic ulcer of back with necrosis of bone
- L98.425 — Non-pressure chronic ulcer of back with muscle involvement without…
- L98.426 — Non-pressure chronic ulcer of back with bone involvement without…
- L98.428 — Non-pressure chronic ulcer of back with other specified severity
- L98.431 — Non-pressure chronic ulcer of abdomen limited to breakdown of skin
- L98.432 — Non-pressure chronic ulcer of abdomen with fat layer exposed
- L98.433 — Non-pressure chronic ulcer of abdomen with necrosis of muscle
- L98.434 — Non-pressure chronic ulcer of abdomen with necrosis of bone
- L98.435 — Non-pressure chronic ulcer of abdomen with muscle involvement…
- L98.436 — Non-pressure chronic ulcer of abdomen with bone involvement without…
- L98.438 — Non-pressure chronic ulcer of abdomen with other specified severity
- L98.439 — Non-pressure chronic ulcer of abdomen with unspecified severity
- L98.441 — Non-pressure chronic ulcer of chest limited to breakdown of skin
- L98.442 — Non-pressure chronic ulcer of chest with fat layer exposed
- L98.443 — Non-pressure chronic ulcer of chest with necrosis of muscle
- L98.444 — Non-pressure chronic ulcer of chest with necrosis of bone
- L98.445 — Non-pressure chronic ulcer of chest with muscle involvement without…
- L98.446 — Non-pressure chronic ulcer of chest with bone involvement without…
- L98.448 — Non-pressure chronic ulcer of chest with other specified severity
- L98.449 — Non-pressure chronic ulcer of chest with unspecified severity
- L98.451 — Non-pressure chronic ulcer of neck limited to breakdown of skin
Frequently asked questions
Does Medicare cover L98.7 (Excessive and redundant skin and subcutaneous tissue)?
Medicare covers items and services, not diagnoses. 3 Medicare billing and coding articles list L98.7 as a covered diagnosis for 4 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.
Which HCPCS codes can be billed with ICD-10 L98.7?
The Level II codes from the policies most specific to this diagnosis are Q2028 (Injection, sculptra, 0.5 mg, 2 articles); G0429 (Dermal filler injection(s) for the treatment of facial…, 2 articles); Q2026 (Injection, radiesse, 0.1 ml, 2 articles); G0127 (Trimming of dystrophic nails, any number, 1 article). Code choice depends on the item supplied; check each code's descriptor.
Which Medicare policy articles list L98.7?
A59299 (Billing and Coding: Cosmetic and Reconstructive Surgery); A58774 (Billing and Coding: Cosmetic and Reconstructive Surgery); A57954 (Billing and Coding: Routine Foot Care).
What is ICD-10-CM code L98.7?
L98.7 is the ICD-10-CM code for excessive and redundant skin and subcutaneous tissue, in category L98 (Other disorders of skin and subcutaneous tissue, not elsewhere classified), chapter 12: Diseases of the skin and subcutaneous tissue.
Next steps
- Run a reimbursement report for a device billed under Q2028
- Watch Q2028 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q2028
Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.
Chapter 12: Diseases of the skin and subcutaneous tissue · All diagnoses · HCPCS lookup