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L00 vs L51

L00 (Staphylococcal scalded skin syndrome) compared with L51 (Erythema multiforme), from the official CMS tabular data.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Summary

These codes should not be reported together because L51’s tabular entry lists L00 under Excludes1.

Official rule
What is different?

The conditions named and billing status.L00 is “Staphylococcal scalded skin syndrome”; L51 is “Erythema multiforme”. L51 is a non-billable header; L00 is billable.

Registry fact

Can these codes be reported together?

No.L51’s entry carries an Excludes1 note covering L00: “staphylococcal scalded skin syndrome (L00)”. Both may be reported only when the documentation shows the two conditions are unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes1 relationship?

Yes.L51’s tabular entry: “staphylococcal scalded skin syndrome (L00)”. The note covers L00.

Official ruleGuide: Excludes1 vs Excludes2

Is one a parent or header code?

One is a header.L51 is a non-billable header, but L00 is not one of its subdivisions.

Registry fact

Nothing found in 3 other checks; 1 check does not apply
Is there an Excludes2 relationship?

None.Neither entry carries an Excludes2 note that names the other code. L00 carries 13 Excludes2 notes covering other codes; the side-by-side table quotes them.

Official rule

Is one more specific?

Not comparable.The codes sit in different categories; specificity is only comparable within one category.

Are there sequencing instructions?

None.Neither entry carries a Code First or Use Additional Code note that names the other.

Official rule

Are there other coding relationships?

None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.

MedCoder-derived

Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels

Can these codes be reported together?

Excludes1 — generally not reported together

Excludes1 conflict

L51
Erythema multiforme
↔
L00
Staphylococcal scalded skin syndrome

What we found

No — do not report together.L51 carries an Excludes1 note covering L00: “staphylococcal scalded skin syndrome (L00)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

What to review

Report one of the two. Both may be reported only when the documentation shows the two conditions are unrelated to each other.

Guide: Excludes1 vs Excludes2Check these on a claim

Why it matters

An Excludes1 note means the two conditions are not ordinarily reported together for the same encounter, because the classification treats them as mutually exclusive forms of the same condition. The documented exception is when the two conditions are unrelated to each other.

Source / rule

CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a

Official guidance behind these answers

  • Section I.A.12.a — Excludes1 · applies to: Excludes1

    A type 1 Excludes note is a pure excludes note. It means “NOT CODED HERE!” An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition. An exception to the Excludes1 definition is the circumstance when the two conditions are unrelated to each other. If it is not clear whether the two conditions involving an Excludes1 note are related or not, query the provider. For example, code F45.8, Other somatoform disorders, has an Excludes1 note for "sleep related teeth grinding (G47.63)," because "teeth grinding" is an inclusion term under F45.8. Only one of these two codes should be assigned for teeth grinding. However psychogenic dysmenorrhea is also an inclusion term under F45.8, and a patient could have both this condition and sleep related teeth grinding. In this case, the two conditions are clearly unrelated to each other, and so it would be appropriate to report F45.8 and G47.63 together.

    ICD-10-CM Official Guidelines FY2027

Quoted from the ICD-10-CM Official Guidelines for Coding and Reporting in effect for the release shown. The tabular notes above are the code-level instruction; these sections are the convention that says how such a note is applied. Source document (CMS PDF) · Release and checksum

Side by side

Similar descriptions do not make codes interchangeable. The documentation and the official instructions decide which code applies.

Official descriptionDiffers
L00

Staphylococcal scalded skin syndrome

L51

Erythema multiforme

StatusDiffers
L00
Billable
L51
Non-billable header

A header is not reported on a claim; a code beneath it is.

Report instead: L51.0, L51.1, L51.2, L51.3, L51.8

Excludes1Differs
L00
  • bullous impetigo (L01.03)
  • pemphigus neonatorum (L01.03)
  • toxic epidermal necrolysis [Lyell] (L51.2)
L51
  • staphylococcal scalded skin syndrome (L00)
  • Ritter's disease (L00)
  • Lyme disease (A69.2-)
  • rosacea (L71.-)
Excludes2Differs
L00
  • hordeolum (H00.0)
  • infective dermatitis (L30.3)
  • local infections of skin classified in Chapter 1
  • lupus panniculitis (L93.2)
  • panniculitis NOS (M79.3)
  • panniculitis of neck and back (M54.0-)
  • Perlèche NOS (K13.0)
  • Perlèche due to candidiasis (B37.0)
  • Perlèche due to riboflavin deficiency (E53.0)
  • pyogenic granuloma (L98.0)
  • relapsing panniculitis [Weber-Christian] (M35.6)
  • viral warts (B07.-)
  • zoster (B02.-)
L51

None at this code

Use additional codeDiffers
Only at L00
  • code (B95-B97) to identify infectious agent.
Only at L51
  • 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-)
Shared by both codes (1 note)
  • code to identify percentage of skin exfoliation (L49.-)
CategorySame for both

Is itself a category

ChapterSame for both

L00-L99 — Diseases of the Skin and Subcutaneous Tissue (L00-L99)

IncludesDiffers
L00
  • Ritter's disease
L51

None at this code

No Code first, Code also and 7th character note at either code.

Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on. In a row that differs, each code’s own notes are listed under it, and the notes every code shares are listed once beneath them.

Edit this comparisonCheck a whole claim

Derived from the official CMS ICD-10-CM tabular data (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources