L51.3

L51.3: Stevens-Johnson syndrome-toxic epidermal necrolysis overlap syndrome

Billable / specific codeICD-10-CM

L51.3 is a billable, specific ICD-10-CM code for stevens-johnson syndrome-toxic epidermal necrolysis overlap syndrome. It is valid for submission on a claim.

Check L51.3 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

SJS-TEN overlap syndrome

Excludes1 inherited from the categories above L51.3

A category’s note binds every code beneath it.

Written on L51: Erythema multiforme

staphylococcal scalded skin syndrome (L00)
Ritter's disease (L00)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

L51.3 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56786Billing and Coding: Immune Globulin
A57554Billing and Coding: Immune Globulins
A57778Billing and Coding: Immune Globulin

Alphabetic index entries that lead here

Stevens-Johnson disease or syndrome›toxic epidermal necrolysis overlap
Syndrome›Stevens-Johnson syndrome›toxic epidermal necrolysis overlap

Code history

Unchanged in every release from FY2024 to FY2027.