2025 ICD-10-CM code L51.1
Stevens-Johnson syndrome. A severe skin reaction characterized by blisters and shedding of the skin's top layer, often affecting mucous membranes.
Medical necessity is established by the presence of characteristic skin and mucous membrane lesions, systemic symptoms, and a history suggestive of a drug reaction or infection.The severity of SJS necessitates urgent medical intervention to prevent life-threatening complications.
Physicians who diagnose and treat Stevens-Johnson syndrome include dermatologists, allergists, emergency medicine physicians, and critical care specialists. They stabilize the patient, manage pain, prevent complications like infection and dehydration, and consult with other specialists based on affected organs (e.g., ophthalmologists for eye involvement).
In simple words: Stevens-Johnson Syndrome is a rare, serious reaction, usually to a medicine.It causes flu-like symptoms and a painful rash that blisters and makes the skin peel off.It needs treatment in a hospital.
Stevens-Johnson syndrome (SJS) is a rare and serious disorder of the skin and mucous membranes. It's typically a reaction to medication, starting with flu-like symptoms followed by a painful, spreading rash that blisters. Subsequently, the top layer of affected skin dies, sheds, and begins to heal. SJS is a medical emergency requiring hospitalization. It involves less than 10% total body skin area separation of the dermis.A more severe form, toxic epidermal necrolysis (TEN), affects more than 30% of the skin surface.
Example 1: A patient presents with flu-like symptoms and a rapidly spreading, painful rash with blisters after starting a new antibiotic. Less than 10% of the body surface area is affected. The diagnosis is Stevens-Johnson syndrome., A child develops a severe rash with blisters and skin detachment after taking an anticonvulsant medication. The affected area is less than 10% of their body surface, indicating Stevens-Johnson syndrome. , A patient with a history of herpes simplex virus develops a widespread painful rash, blisters, and skin sloughing involving a small percentage of their body. They are diagnosed with Stevens-Johnson syndrome potentially triggered by the viral infection.
Documentation should include the extent of skin and mucous membrane involvement (less than 10% for SJS), description of the rash and blisters, presence of any systemic symptoms (fever, malaise), medication history, and suspected causative agent (medication, infection). Photographs may also be helpful.
- Payment Status: Active
- Specialties:Dermatology, Allergy and Immunology, Emergency Medicine, Critical Care Medicine, Ophthalmology (if eye involvement), Infectious Disease (if infection-related)
- Place of Service:Inpatient Hospital, Emergency Room - Hospital