L51.3 Stevens-Johnson syndrome-toxic epidermal necrolysis overlap syndrome

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Applicable to

• SJS-TEN overlap syndrome

Applies from L51 Erythema multiforme

Excludes1 (never code together)

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

Use additional code

• 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.-)

Risk adjustment (HCC)

• CMS-HCC V22: HCC 162 — Severe Skin Burn or Condition
• ESRD V24: HCC 162

MS-DRG index

Defines the logic of DRG(s) 595-596 in MDC 09.

Approximate ICD-9-CM (GEMs)

• 695.14 Stevens-Johnson syndrome-toxic epidermal necrolysis overlap syndrome

Code annotations containing back-references to L51.3

Back-references to L51.3

• Code First: L49 Exfoliation due to erythematous conditions according to extent of body surface involved ("Stevens-Johnson syndrome-toxic epidermal necrolysis overlap syndrome (L51.3)")

Back-references to L51

• Code First: M14.8 Arthropathies in other specified diseases classified elsewhere ("erythema multiforme (L51.-)")

Diagnosis Index entries for L51.3

• Stevens-Johnson disease or syndrome › toxic epidermal necrolysis overlap
• Syndrome › Stevens-Johnson syndrome › toxic epidermal necrolysis overlap

Nearby codes

• L51 Erythema multiforme
• L51.0 Nonbullous erythema multiforme
• L51.1 Stevens-Johnson syndrome
• L51.2 Toxic epidermal necrolysis [Lyell]
• L51.3 Stevens-Johnson syndrome-toxic epidermal necrolysis overlap syndrome (this code)
• L51.8 Other erythema multiforme
• L51.9 Erythema multiforme, unspecified