Exfoliation due to erythematous conditions according to extent of body surface involved (L49)

The ICD-10 code L49 and its subcodes classify exfoliation caused by erythematous (red, inflamed) skin conditions based on how much of the body surface is affected. These codes specify the percentage of the body involved, ranging from less than 10% to 90% or more.

This section is used to precisely document varying degrees of skin peeling linked to inflammatory redness, helping healthcare providers capture the severity of the condition. For example, L49.0 indicates exfoliation involving less than 10% of the body surface, while L49.9 is for exfoliation covering 90% or more. All subcategories fall under the umbrella of "Other specified inflammatory condition of skin," providing a detailed way to code exfoliation that occurs as a result of erythematous skin diseases. Using the correct ICD-10 code for exfoliation due to erythematous conditions ensures accurate clinical records and aids treatment planning based on the extent of skin involvement.

Instructional Notations

Code First

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.

  • erythematous condition causing exfoliation, such as:
  • Ritter's disease L00
  • Staphylococcal scalded skin syndrome L00
  • Stevens-Johnson syndrome L51.1
  • Stevens-Johnson syndrome-toxic epidermal necrolysis overlap syndrome L51.3
  • Toxic epidermal necrolysis L51.2