Hair Loss ICD-10 Coding Guide

Also known as

  • Alopecia
  • Nonscarring hair loss

The ICD-10-CM code for hair loss is L65.9 (Nonscarring hair loss, unspecified), a billable code reported when nonscarring alopecia is documented without further specification of the underlying type or cause.

Primary codes

Billable

Billable

Extension

7th character

POA exempt

No

Inclusion terms

  • Alopecia NOS

Coding risks

  • Assigning when documentation supports a more specific code

Code comparison

Compare key differences between related codes to select the most specific option.

CodeDescriptionScenario
L65.9Nonscarring hair loss, unspecifiedNonscarring hair loss documented without specifying telogen, anagen, or mucinosa etiology.
L65.0Telogen effluviumDiffuse hair shedding documented after stressor, illness, or childbirth, consistent with telogen-phase shedding.
L65.1Anagen effluviumAnagen effluvium documented, typically abrupt shedding tied to chemotherapy or toxic exposure during active hair growth.
L65.2Alopecia mucinosaAlopecia mucinosa with follicular mucinosis confirmed on biopsy, driving hair loss.

Select the most specific code supported by the encounter documentation. More specific codes improve reimbursement accuracy and reduce audit risk.

Code ranges

Coding risks

Avoid these common coding issues when reporting Hair Loss.

Impact

Assigning L65.9 without an explicit pattern may miscode cases that belong under telogen effluvium (L65.0) or scarring alopecia (L66).

Mitigation

Consider querying the provider when the pattern is absent rather than inferring from medication history or timing alone.

Ancillary and co-coding

Codes commonly reported with the primary diagnosis on the same claim.

Z-code variants

Family history, personal history, or screening encounter codes related to this condition.

Differential codes

Alternative or commonly confused codes to consider when documentation suggests a different condition than the primary diagnosis.

Frequently asked questions

Use L65.9 only when the chart documents nonscarring alopecia without specifying telogen effluvium, anagen effluvium, or another named subtype.

References

Compiled from the following authoritative coding references. Last updated 2026-08-04.

Disclaimer

This page is compiled from authoritative coding references for educational and reference purposes only. It is not medical advice, billing authority, or an official source of ICD-10-CM guidelines. Always verify codes against the current CMS ICD-10-CM Official Guidelines, AHIMA guidance, and your organization’s coding policies. ICD-10-CM is updated annually on October 1.