R23.4
BillableChanges in skin texture
Changes in skin texture
Coding Notes
Inclusion Terms
Alternative clinical terms for this condition
- Desquamation of skin
- Induration of skin
- Scaling of skin
Excludes 1
Codes that cannot be used together with this code (mutual exclusion)
Excludes 2
Conditions not included here, but the patient may have both
- •abnormal findings on antenatal screening of motherO28
- •certain conditions originating in the perinatal periodP04-P96
- signs and symptoms classified in the body system chapters
- •signs and symptoms of breast,N63, N64.5
- •symptoms relating to breastN64.4-N64.5
Related Codes(6)
ICD-11 Equivalents(1)
ICD-11 Equivalents
View full mappingCorresponding ICD-11 codes from the WHO crosswalk mapping
Also Known As / Clinical Terms(245)
SNOMED CT
- Parakeratosis ostracea7194005
- Parakeratosis scutularis7194005
- Circumoral rhytides9368001
- Perioral rhytides9368001
- Perioral wrinkles9368001
- Crow's feet10360000
- Periorbital rhytides10360000
- Thickening of skin17417006
- Decreased thickness of skin17719008
- Induration of skin34319007
- Parakeratosis of skin56585003
- Subcutaneous crepitus64205004
- Abnormal keratinisation69707008
- Abnormal keratinization69707008
- Increased thickness of skin85345005
- Increased keratinisation85363005
- Increased keratinization85363005
- Increased keratinocytic mass85363005
- Cracks in skin95321009
- Fissure in skin95321009
- Rhagades95321009
- Skin fissure95321009
- Splits in skin95321009
- Injection site induration95402002
- Decreased keratinisation111979000
- Decreased keratinization111979000
- Decreased keratinocytic mass111979000
- Finding of integrity of skin225547008
- Observation of health of skin225547008
- Observation of integrity of skin225547008
- Skin peeling disorder238643009
- Woody induration of skin and subcutis247431001
- Rugosity of skin247434009
- Wrinkled skin247434009
- Facial wrinkles248194004
- Lined face248194004
- Wrinkled face248194004
- Fine wrinkles on face248195003
- Cellulite248306003
- Fatty dimpling of skin248306003
- Scaliness of skin271761007
- Scaly skin271761007
- Crust on skin271765003
- Desquamation271767006
- Dropping of scales271767006
- Exfoliating271767006
- Flaking of skin271767006
- Peeling of skin271767006
- Shedding of scales271767006
- Thick skin271815000
- Changes in skin texture274672009
- Scaly scalp275887009
- Thin skin277797007
- Thinning of skin277797007
- Scaling of female perineum289858005
- Skin dimple301854006
- Finding of thickness of skin366649008
- Texture of skin or mucosa367394000
- Epidermal collarette370605002
- Desquamation of skin following febrile illness402345004
- Desquamation secondary to acute systemic illness402347007
- Skin eschar409590008
- Rhytide of forehead429193009
- Wrinkle of forehead429193009
- Frown line429356007
- Glabellar rhytide429356007
- Rhytide of glabellar skin429356007
- Wrinkle of glabellar skin429356007
- Diffuse palmoplantar keratoderma with painful fissures778062008
- Crack in skin of bilateral hands816992006
- Fissure in skin of bilateral hands816992006
- Crack in skin of bilateral feet816993001
- Fissure in skin of bilateral feet816993001
- Rough skin816995008
- Rough skin of hands829993001
- Painful dorsolateral fissure of fingertip1254895007
- Painful fissure of dorsolateral aspect of skin of fingertip1254895007
- Abnormal desquamation of epithelium1264086002
- Abnormal epithelial desquamation1264086002
- Induration of periwound skin241000161101
UMLS
- Changes in skin textureC0159040
- Changes in skin texture (finding)C0159040
- DesquamationC0237849
- Desquamation of skinC0237849
- Desquamation, functionC0237849
- Desquamation, function (observable entity)C0237849
- Desquamative stateC0237849
- Dropping of scalesC0237849
- ExfoliatingC0237849
- ExfoliationC0237849
- Exfoliation NOSC0237849
- Exfoliation of skinC0237849
- Flaking of skinC0237849
- Flaking skinC0237849
- Peeling of skinC0237849
- Peeling of skin (finding)C0237849
- Peeling skinC0237849
- ScalingC0237849
- Scaling of skinC0237849
- Scaling of the skinC0237849
- Scaling skinC0237849
- Scaly skinC0237849
- Shedding of scalesC0237849
- Skin desquamationC0237849
- Skin desquamation NOSC0237849
- Skin exfoliationC0237849
- Skin peelingC0237849
- Skin scalingC0237849
- desquamationC0237849
- exfoliateC0237849
- exfoliatedC0237849
- exfoliatingC0237849
- exfoliationC0237849
- flaking skinC0237849
- peelC0237849
- peelingC0237849
- peeling of skinC0237849
- peeling skinC0237849
- peeling skinsC0237849
- peelsC0237849
- scalingC0237849
- scaling skinC0237849
- skin desquamationC0237849
- skin exfoliationC0237849
- skin flakingC0237849
- skin peelC0237849
- skin peelingC0237849
- skin scalingC0237849
- Indurated skinC0241075
- Induration of skinC0241075
- Induration of skin (disorder)C0241075
- Skin IndurationC0241075
- Skin indurationC0241075
- Stiff skinC0241075
Clinical Terms
- Induration of skin
- exfoliating
- skin desquamation
- flaking skin
- Fine wrinkles on face
- Skin scaling
- peels
- Crack in skin of bilateral feet
- Desquamation of skin
- Rough skin
- Wrinkle of forehead
- Decreased keratinization
- Parakeratosis of skin
- Desquamation of skin following febrile illness
- Skin induration
- Thickening of skin
- scaling
- Observation of health of skin
- Cracks in skin
- Fatty dimpling of skin
- Dropping of scales
- skin flaking
- Rhagades
- Scaliness of skin
- Desquamative state
- Scaly scalp
- skin peeling
- Splits in skin
- Exfoliation
- Skin fissure
- Changes in skin texture (finding)
- Epidermal collarette
- Subcutaneous crepitus
- Scaling of female perineum
- Shedding of scales
- exfoliate
- Fissure in skin
- Decreased keratinisation
- Desquamation
- Rhytide of forehead
- Wrinkled face
- Cellulite
- exfoliated
- Skin dimple
- Peeling of skin
- peel
- Skin peeling disorder
- Increased keratinocytic mass
- Skin exfoliation
- Abnormal keratinisation
- Parakeratosis scutularis
- Wrinkle of glabellar skin
- Periorbital rhytides
- Abnormal desquamation of epithelium
- Increased keratinisation
- Desquamation secondary to acute systemic illness
- Scaly skin
- Peeling skin
- peeling skins
- Frown line
- Scaling skin
- Crack in skin of bilateral hands
- Thin skin
- Scaling of skin
- Rugosity of skin
- Exfoliation of skin
- Injection site induration
- skin peel
- Increased keratinization
- Glabellar rhytide
- Observation of integrity of skin
- Lined face
- Desquamation, function (observable entity)
- Rhytide of glabellar skin
- Abnormal epithelial desquamation
- Texture of skin or mucosa
- Perioral wrinkles
- Scaling of the skin
- Stiff skin
- Thick skin
- Abnormal keratinization
- Flaking of skin
- Facial wrinkles
- Rough skin of hands
- Induration of skin (disorder)
- Indurated skin
- Circumoral rhytides
- Fissure in skin of bilateral feet
- Parakeratosis ostracea
- Finding of integrity of skin
- Finding of thickness of skin
- Decreased keratinocytic mass
- Skin desquamation NOS
- Increased thickness of skin
- Peeling of skin (finding)
- Painful fissure of dorsolateral aspect of skin of fingertip
- Painful dorsolateral fissure of fingertip
- Thinning of skin
- Exfoliation NOS
- Induration of periwound skin
- Perioral rhytides
- Skin eschar
- Fissure in skin of bilateral hands
- peeling
- Desquamation, function
- Crow's feet
- Woody induration of skin and subcutis
- Diffuse palmoplantar keratoderma with painful fissures
- Crust on skin
- Decreased thickness of skin
- Wrinkled skin
Frequently Asked Questions
What is the ICD-10 code for changes in skin texture?
The ICD-10-CM code for changes in skin texture is R23.4. The full clinical description is "Changes in skin texture". R23.4 is a billable/specific code that can be used on insurance claims and medical billing.
What does ICD-10 code R23.4 mean?
ICD-10-CM code R23.4 represents “Changes in skin texture”. It is classified under Chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings and is a billable/specific code that can be used on a claim.
Is R23.4 a billable code?
Yes, R23.4 is a billable/specific ICD-10-CM code and can be used to indicate a diagnosis on a medical claim.
What chapter is R23.4 in?
R23.4 is in Chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings (codes R00-R99).
What codes cannot be used with R23.4?
R23.4 has Excludes1 notes indicating codes that cannot be used together with it, including: epidermal thickening NOS (L85.9).
What SNOMED CT codes does R23.4 map to?
R23.4 maps to 46 SNOMED CT concepts: 1264086002, 69707008, 248306003, 274672009, 9368001, and 41 more. SNOMED CT is a clinical terminology used in electronic health records.
What are the UMLS CUIs for R23.4?
R23.4 is linked to 3 UMLS Concept Unique Identifiers: C0159040, C0237849, C0241075. The UMLS (Unified Medical Language System) integrates multiple biomedical vocabularies maintained by the U.S. National Library of Medicine.
How does R23.4 relate to ICF functioning codes?
ICF (International Classification of Functioning, Disability and Health) codes describe how conditions like changes in skin texture affect a person's functioning — body functions, activities, participation, and environmental factors. AutoICD provides ICF Core Sets for 12+ conditions and can map clinical text to ICF categories automatically. Browse the ICF directory to explore functioning codes.
What is the ICD-11 equivalent of R23.4?
R23.4 maps to the ICD-11 code: ME66.1 (Changes in skin texture).
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Includes SNOMED Clinical Terms® (SNOMED CT®) used by permission of SNOMED International. Includes content from the UMLS Metathesaurus, courtesy of the U.S. National Library of Medicine.