MCMCB Pro
L51

L51Erythema multiforme

Non-billable headerICD-10-CM

L51 is a non-billable header ICD-10-CM code for erythema multiforme. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

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

Use additional code

Add a secondary code to capture the detail described below.

  • 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.-)

Other codes that can never be billed with L51

These codes carry an Excludes1 note pointing at L51. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading L51 alone.

  • L00Staphylococcal scalded skin syndrome

Risk adjustment

L51 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead L51

6 child codes. Green means billable.

Questions about L51

Is L51 a billable ICD-10-CM code?
No. L51 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does L51 sit in the tabular list?
Diseases of the skin and subcutaneous tissue (L00-L99), in the block Urticaria and erythema (L49-L54).
What cannot be coded together with L51?
L51 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.