2025 ICD-10-CM code L55.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the skin and subcutaneous tissue - Radiation-related disorders of the skin and subcutaneous tissue Diseases of the skin and subcutaneous tissue (L00-L99) Feed
Sunburn of first degree.
Medical necessity for coding L55.0 is established when a patient presents with clinical findings consistent with a first-degree sunburn following exposure to ultraviolet radiation. This typically involves a history of sun exposure and physical examination revealing erythema and tenderness without blistering.
Diagnosis and management of sunburn. This may include assessment of the burn's severity, pain management, and recommendations for wound care and sun protection.
- Diseases of the skin and subcutaneous tissue (L00-L99)
- L55-L59 (Radiation-related disorders of the skin and subcutaneous tissue)
In simple words: A first-degree sunburn is a mild sun burn that makes your skin red and sore.It doesn't usually cause blisters.
Sunburn of the first degree is a superficial skin injury caused by excessive exposure to ultraviolet (UV) radiation from the sun. It is characterized by erythema (redness), tenderness, and mild pain.Blistering is typically absent in first-degree sunburns. The affected skin is sensitive to touch and pressure.
Example 1: A patient presents to a clinic with erythema and mild pain on their shoulders and back after spending several hours in direct sunlight without sunscreen. The physician diagnoses a first-degree sunburn (L55.0)., A child develops redness and mild discomfort on their face after playing outside without sun protection. A healthcare provider diagnoses a first-degree sunburn (L55.0) and advises on sun protection measures., A patient with fair skin experiences redness and mild burning sensation on their arms after a day at the beach. The physician confirms a first-degree sunburn (L55.0) and recommends cooling compresses and over-the-counter pain relievers.
A complete history and physical examination focusing on the area(s) of sunburn.Documentation should specify the location, extent (size and percentage of body surface area affected), depth (first-degree), and any associated symptoms (pain, tenderness, itching).Photos might be helpful.
** This code should only be used for first-degree sunburns.More severe sunburns with blistering or other complications require different codes.Always consider the possibility of other underlying conditions or comorbidities that might be contributing factors.
- Payment Status: Active
- Specialties:Dermatology, Family Medicine, Emergency Medicine
- Place of Service:Office, Urgent Care Facility, Emergency Room - Hospital, Outpatient Hospital