2025 ICD-10-CM code L49.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the skin and subcutaneous tissue - Urticaria and erythema Diseases of the skin and subcutaneous tissue (L00-L99) Feed
Exfoliation due to an erythematous condition affecting less than 10% of the body surface.
Medical necessity is established when the exfoliation is significant enough to warrant medical attention, either due to its size, extent of discomfort, or risk of complications (e.g., secondary infection). The underlying erythematous condition must also meet medical necessity criteria for treatment.
Diagnosis and management of skin conditions, including assessment of the extent of exfoliation, identification of the underlying erythematous condition, and treatment planning.
In simple words: This code describes skin peeling caused by a red rash covering a small portion of the body. The doctor should also code the specific rash causing the peeling.
This code represents exfoliation (shedding of skin) caused by an erythematous (reddened) skin condition impacting less than 10% of the body's surface area.It is crucial to first code the underlying erythematous condition responsible for the exfoliation. Examples of such conditions include Ritter's disease (Staphylococcal scalded skin syndrome), Stevens-Johnson syndrome, Stevens-Johnson syndrome-toxic epidermal necrolysis overlap syndrome, and toxic epidermal necrolysis.
Example 1: A 2-year-old presents with widespread erythema and blistering, involving approximately 5% of the body surface area, consistent with Staphylococcal scalded skin syndrome (SSS).The exfoliation is secondary to the SSS.L49.0 is coded along with the primary diagnosis of L00.0., An adult patient develops a mild exfoliation following a severe sunburn affecting 3% of the body surface area.In this case, an appropriate code for the sunburn (e.g., L55.9) is used as the primary code, with L49.0 as a secondary code to reflect the exfoliation., A patient experiences a small area of exfoliation after a reaction to a medication causing localized erythema (about 2% of the body surface). The specific reaction needs to be coded, followed by L49.0.
Detailed description of the erythematous condition, including location, size, and duration.Documentation should support the assessment of the body surface area affected and the relationship between the erythema and exfoliation.Specify treatment plans.
** This code is used when the exfoliation is a minor component of a larger skin condition.If the exfoliation is the predominant finding, consider other more specific codes. The percentage of body surface area affected is crucial for accurate coding.
- Payment Status: Active
- Specialties:Dermatology
- Place of Service:Office, Hospital, Clinic