ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 L00

Billable / Specific

Staphylococcal scalded skin syndrome

L00
Block
1
Synonyms
0
LCDs
0
Payer Policies
0
Linked CPTs

About ICD-10-CM L00

ICD-10-CM code L00 represents Staphylococcal scalded skin syndrome. This is a billable/specific code in the Skin and Subcutaneous Tissue chapter (block L00). The 2026 edition of ICD-10-CM L00 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under L00. Per CMS ICD-10-CM Tabular 2026.

  • Ritter's disease

Type 1 Excludes

Pure excludes, these codes can never be coded together with L00. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • bullous impetigo (L01.03)
  • pemphigus neonatorum (L01.03)
  • toxic epidermal necrolysis [Lyell] (L51.2)

Use Additional Code

When coding L00, also report these additional codes when applicable.

  • code to identify percentage of skin exfoliation (L49.-)

Medicare LCD Coverage for L00

Local Coverage Determinations (LCDs) from CMS MACs that list L00 as a covered diagnosis.

No Medicare LCDs reference L00 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing L00.

No commercial payer policies reference L00 on file

Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but L00 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.

CPT Codes Commonly Billed with L00

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for L00

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert L00 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
L00 69581 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 L00, Billing FAQ

Is ICD-10 code L00 billable? +

Yes, L00 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to L00? +

ICD-10 L00 includes: Ritter's disease.

What codes are Type 1 Excludes for L00? +

Type 1 Excludes (never code together with L00): bullous impetigo (L01.03); pemphigus neonatorum (L01.03); toxic epidermal necrolysis [Lyell] (L51.2)

What ICD-9 codes does L00 map to? +

Per CMS GEMs, L00 maps to ICD-9 codes: 69581. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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