L00 ICD-10-CM Code: Staphylococcal scalded skin syndrome
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
N/A—
Not mapped
ACA/HHS
MappedHCC 219
Varies by metal level
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
Official- Ritter's disease
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for L00 in this effective period.
Related Child Codes
ICD-10-CM does not list child codes under L00 for this display context.
Includes
OfficialICD-10-CM does not list Includes notes for L00 in this effective period.
Excludes 1
Official- bullous impetigo (L01.03)
- pemphigus neonatorum (L01.03)
- toxic epidermal necrolysis [Lyell] (L51.2)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for L00 in this effective period.
Use Additional
Official- code to identify percentage of skin exfoliation (L49.-)
Code Also
OfficialICD-10-CM does not list Code Also instructions for L00 in this effective period.
Buddy Documentation Tip
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
Is L00 an HCC code?
No. L00 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
Coder workflow notes
Get the V28 RAF + MEAT cheat sheet
One printable page: confirm a code's V28 HCC status, its RAF weight, and the MEAT your note needs to make it stick. Free, no card.
Free PDF. No card. Unsubscribe anytime.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
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 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
This is a severe condition requiring immediate treatment; ensure proper documentation of extent and severity.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, 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.-)