L00 ICD-10-CM Code: Staphylococcal scalded skin syndrome
L00 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC coding tools
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
FY 2026 Apr update / Diseases of the skin and subcutaneous tissue (L00-L99) / Infections of the skin and subcutaneous tissue (L00-L08)
L00
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceStaphylococcal scalded skin syndrome
A serious bacterial skin infection caused by Staphylococcus aureus where the skin appears scalded or burned, often affecting infants and young children.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
HistoricalHistorical
Not used for CY2026 payment
ACA/HHS
MappedHCC 219
Code-level coefficient reference
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
Official- Ritter's disease
Excludes 2
Official- certain conditions originating in the perinatal period (P04-P96)Inherited from L00-L99, L00-L08
- certain infectious and parasitic diseases (A00-B99)Inherited from L00-L99, L00-L08
- complications of pregnancy, childbirth and the puerperium (O00-O9A)Inherited from L00-L99, L00-L08
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Inherited from L00-L99, L00-L08
- endocrine, nutritional and metabolic diseases (E00-E88)Inherited from L00-L99, L00-L08
- lipomelanotic reticulosis (I89.8)Inherited from L00-L99, L00-L08
- neoplasms (C00-D49)Inherited from L00-L99, L00-L08
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)Inherited from L00-L99, L00-L08
- systemic connective tissue disorders (M30-M36)Inherited from L00-L99, L00-L08
- viral warts (B07.-)Inherited from L00-L99, L00-L08
- hordeolum (H00.0)Inherited from L00-L99, L00-L08
- infective dermatitis (L30.3)Inherited from L00-L99, L00-L08
- local infections of skin classified in Chapter 1Inherited from L00-L99, L00-L08
- lupus panniculitis (L93.2)Inherited from L00-L99, L00-L08
- panniculitis NOS (M79.3)Inherited from L00-L99, L00-L08
- panniculitis of neck and back (M54.0-)Inherited from L00-L99, L00-L08
- Perlèche NOS (K13.0)Inherited from L00-L99, L00-L08
- Perlèche due to candidiasis (B37.0)Inherited from L00-L99, L00-L08
- Perlèche due to riboflavin deficiency (E53.0)Inherited from L00-L99, L00-L08
- pyogenic granuloma (L98.0)Inherited from L00-L99, L00-L08
- relapsing panniculitis [Weber-Christian] (M35.6)Inherited from L00-L99, L00-L08
- zoster (B02.-)Inherited from L00-L99, L00-L08
Related Codes
No related codes are included in this display for L00. Check the Code Book for the complete code path.
Includes
OfficialNo Includes notes are included in this display for L00. Check the code and parent instructions in the Code Book.
Excludes 1
Official- bullous impetigo (L01.03)
- pemphigus neonatorum (L01.03)
- toxic epidermal necrolysis [Lyell] (L51.2)
Code First
OfficialNo Code First sequencing instructions are included in this display for L00. Check the code and parent instructions in the Code Book.
Use Additional
Official- code to identify percentage of skin exfoliation (L49.-)
- code (B95-B97) to identify infectious agent.Inherited from L00-L08
Code Also
OfficialNo Code Also instructions are included in this display for L00. Check the code and parent instructions in the Code Book.
Buddy Documentation Tip
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is L00 an HCC code?
L00 has no mapping under the current CMS-HCC V28 community payment model. L00 also appears in the HHS-HCC commercial risk model (HCC 219 (HHS-HCC 219 adult, RAF varies by metal level)), which is a commercial market model rather than a Medicare Advantage payment mapping.
- Code
- L00
- Description
- Staphylococcal scalded skin syndrome
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF reference coefficient
- —
- Billable
- Yes
- Payment year
- 2026
Coder workflow notes
Get the V28 mapping + MEAT cheat sheet
One printable reference: check representative V28 mappings and the documentation reminders your note needs. Free, no card.
Free PDF. No card. Unsubscribe anytime.
What This Code Means
L00 is the ICD-10-CM diagnosis code for staphylococcal scalded skin syndrome. A serious bacterial skin infection caused by Staphylococcus aureus where the skin appears scalded or burned, often affecting infants and young children. L00 sits in the ICD-10-CM chapter for diseases of the skin and subcutaneous tissue (l00-l99), within the section covering infections of the skin and subcutaneous tissue (l00-l08).
L00 has no mapping under the current CMS-HCC V28 community payment model. L00 also appears in the HHS-HCC commercial risk model (HCC 219 (HHS-HCC 219 adult, RAF varies by metal level)), which is a commercial market model rather than a Medicare Advantage payment mapping. Do not assign V28 risk adjustment value from this page; verify the applicable model and payment year before using this code for risk adjustment.
This is a severe condition requiring immediate treatment; ensure proper documentation of extent and severity.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for L00 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This is a severe condition requiring immediate treatment; ensure proper documentation of extent and severity
- •Do not confuse with toxic epidermal necrolysis (TEN) or Stevens-Johnson syndrome, which have different etiologies
Excludes 1, Do NOT code together
Use Additional Code
- code to identify percentage of skin exfoliation (L49.-)