ICD-10 L49
Non-Billable HeaderExfoliation due to erythematous conditions according to extent of body surface involved
About ICD-10-CM L49
ICD-10-CM code L49 represents Exfoliation due to erythematous conditions according to extent of body surface involved. This is a non-billable header code in the Skin and Subcutaneous Tissue chapter (block L49). The 2026 edition of ICD-10-CM L49 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Coding Notes
Code First
- erythematous condition causing exfoliation, such as:
- Ritter's disease (L00)
- (Staphylococcal) scalded skin syndrome (L00)
- Stevens-Johnson syndrome (L51.1)
- Stevens-Johnson syndrome-toxic epidermal necrolysis overlap syndrome (L51.3)
- Toxic epidermal necrolysis (L51.2)
Medicare LCD Coverage for L49
Local Coverage Determinations (LCDs) from CMS MACs that list L49 as a covered diagnosis.
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 L49.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but L49 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with L49
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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.
Codes Adjacent To L49
Other codes in section L49-L54 (Urticaria and erythema).
ICD-10 L49, Billing FAQ
Is ICD-10 code L49 billable? +
No, L49 is a non-billable header code. Use a more specific child code from block L49 when submitting claims.
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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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