Freckles

This code represents the presence of ephelides, which are small, flat, hyperpigmented macules that typically appear on sun-exposed skin. These lesions are benign and result from increased melanin production by melanocytes, not an increase in melanocyte number.

Use this code when documentation explicitly identifies freckles as a presenting complaint or a finding during a dermatological examination. This code is appropriate for cosmetic concerns or as an incidental finding when no other dermatological pathology is present.

• Do not confuse with lentigines (L81.4), which are typically larger, darker, and do not fade in winter.
• This code is generally for cosmetic purposes and rarely impacts medical necessity for procedures.
• Ensure documentation clearly states "freckles" or "ephelides" to support code assignment.