Coding and coverage · ICD-10-CM
L51.3 Stevens-Johnson syndrome-toxic epidermal necrolysis overlap syndrome
Instructional notes
Chapter 12
Excludes2Not included here: the patient may have both; report both when both are present.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- lipomelanotic reticulosis (I89.8)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- systemic connective tissue disorders (M30-M36)
- viral warts (B07.-)
Section L49-L54
L51
Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
Use additional codeAdd a second code for the full picture.
- code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
- code to identify associated manifestations, such as:
- arthropathy associated with dermatological disorders (M14.8-)
- conjunctival edema (H11.42)
- conjunctivitis (H10.22-)
- corneal scars and opacities (H17.-)
- corneal ulcer (H16.0-)
- edema of eyelid (H02.84-)
- inflammation of eyelid (H01.8-)
- keratoconjunctivitis sicca (H16.22-)
- mechanical lagophthalmos (H02.22-)
- stomatitis (K12.-)
- symblepharon (H11.23-)
- code to identify percentage of skin exfoliation (L49.-)
This code
Inclusion terms
- SJS-TEN overlap syndrome
Chapter 12: Diseases of the skin and subcutaneous tissue · L49-L54 Urticaria and erythema (L49-L54)
Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.
Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.