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2025 ICD-10-CM code L49.1

Exfoliation due to erythematous condition involving 10-19 percent of body surface.

Code first the underlying erythematous condition causing the exfoliation. Use additional code to identify percentage of skin exfoliation (L49.-).

Medical necessity is established by the diagnosis of the underlying erythematous condition and the associated skin exfoliation.

In simple words: Skin peeling due to redness affecting 10-19% of the body.

Exfoliation due to erythematous condition involving 10-19 percent of body surface. Code first 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)

Example 1: A patient presents with Ritter's disease and has skin peeling on their chest and back, totaling approximately 15% of their body surface area., A patient experiencing Stevens-Johnson syndrome has epidermal necrolysis affecting 12% of their body surface., A child with Staphylococcal scalded skin syndrome has skin exfoliation on their arms and legs, estimated to be 18% of their body surface area.

Documentation should clearly state the underlying erythematous condition causing the exfoliation (e.g., Ritter's disease, Stevens-Johnson syndrome, etc.) and specify the percentage of body surface area involved.

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