M
IMEPro
L90.5 Skin
Updated March 2026

Scar conditions and fibrosis of skin

ICD-10 Code: L90.5 · Body Part: Wrist/Hand

QME Evaluation Process

Scar assessment for size, location, and functional impact. Disfigurement evaluation. Chapter 8 skin impairment plus ROM impairment if contracture present.

Typical Impairment Rating

0-15% WPI for disfigurement; additional for functional limitation

AMA Guides Edition

5th Edition

Common Treatments

+ Scar massage
+ Silicone sheeting
+ Scar revision surgery
+ Laser treatment

Related Conditions

T20.00XA Burn of unspecified degree of head, face, and neck, unspecified site, initial encounter T22.001A Burn of unspecified degree of right shoulder and upper limb, except wrist and hand, initial encounter T23.001A Burn of unspecified degree of right hand, unspecified site, initial encounter

Body Part Guide

Wrist/Hand Evaluation Guide

Impairment rating methods, common conditions, and QME evaluation protocols

View Guide →

QME Specialties for Scar conditions and fibrosis of skin

Physical Medicine & Rehabilitation 88 physicians

Find a QME Specialist

Browse QME-certified physicians who evaluate scar conditions and fibrosis of skin and related wrist/hand conditions in California.

Browse Physical Medicine & Rehabilitation Physicians →

Frequently Asked Questions

What is Scar conditions and fibrosis of skin (L90.5)?

Scar conditions and fibrosis of skin is an ICD-10 diagnosis code (L90.5) classified under Skin conditions. It affects the Wrist/Hand and is commonly encountered in California workers' compensation claims. QME physicians evaluate this condition using AMA Guides 5th Edition protocols.

How is L90.5 rated for impairment?

The typical whole person impairment (WPI) range for Scar conditions and fibrosis of skin is 0-15% WPI for disfigurement; additional for functional limitation. The exact rating depends on clinical findings, imaging, and the evaluation method (DRE or ROM) chosen by the QME physician per AMA Guides 5th Edition.

What is the QME evaluation process for L90.5?

Scar assessment for size, location, and functional impact. Disfigurement evaluation. Chapter 8 skin impairment plus ROM impairment if contracture present.

What treatments are common for Scar conditions and fibrosis of skin?

Common treatments for Scar conditions and fibrosis of skin include Scar massage, Silicone sheeting, Scar revision surgery, Laser treatment. Treatment appropriateness and outcomes are considered during the QME evaluation when determining permanent and stationary status and apportionment.