R23.4 Changes in skin texture

Billable ICD-10-CM code, FY2026.

Applicable to

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

Excludes1 (never code together)

• epidermal thickening NOS (L85.9)

MS-DRG index

Defines the logic of DRG(s) 606-607 in MDC 09.

Approximate ICD-9-CM (GEMs)

• 782.8 Changes in skin texture

Diagnosis Index entries for R23.4

• Change (s) (in) (of) › skin › texture
• Crusts
• Desquamation, skin
• Fissure, fissured › skin
• Induration, indurated › skin
• Inelasticity, skin
• Loss (of) › elasticity, skin
• Parakeratosis
• Scabs
• Scales
• Scaling, skin
• Thickening › skin

Nearby codes

• R23 Other skin changes
• R23.0 Cyanosis
• R23.1 Pallor
• R23.2 Flushing
• R23.3 Spontaneous ecchymoses
• R23.4 Changes in skin texture (this code)
• R23.8 Other skin changes
• R23.9 Unspecified skin changes