L51
L51 — Erythema 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.
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.