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ICD-10 Guide
ICD-10 CodesL02.11

L02.11

Billable

Cutaneous abscess of neck

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 L02.11 is a billable code used to indicate a diagnosis of cutaneous abscess of neck.

Key Diagnostic Point:

L02.11 refers to a cutaneous abscess of the neck, which is a localized collection of pus within the dermis or subcutaneous tissue. Clinically, patients may present with a painful, swollen area on the neck, often accompanied by erythema and warmth. The abscess may fluctuate and can be associated with systemic symptoms such as fever and malaise, indicating a possible infection. Anatomically, the neck is rich in lymphatic vessels, nerves, and blood supply, making it a critical area for abscess formation due to its proximity to the skin surface and various potential sources of infection, including hair follicles, sebaceous glands, and trauma. Disease progression can lead to complications such as cellulitis or systemic infection if not treated promptly. Diagnostic considerations include a thorough physical examination, assessment of the abscess characteristics, and possibly imaging studies if deeper structures are involved. Culturing the pus can help identify the causative organism, guiding appropriate antibiotic therapy.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires clinical evaluation and possibly imaging.
  • Treatment complexity: May involve incision and drainage, along with antibiotic therapy.
  • Documentation requirements: Detailed clinical notes and treatment plans are necessary.
  • Coding specificity: Requires accurate coding to differentiate from other skin infections.

Audit Risk Factors

  • Common coding errors: Misclassification of abscess type or location.
  • Documentation gaps: Incomplete notes on the abscess characteristics or treatment.
  • Billing challenges: Incorrect coding can lead to claim denials or delays.

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

General Surgery

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of L02.11 lies in its potential to lead to serious complications if left untreated, such as systemic infection or sepsis. Understanding the epidemiology of cutaneous abscesses, particularly in populations with higher rates of skin infections, can inform public health initiatives. Quality measures may include tracking the incidence of abscesses and ensuring appropriate treatment protocols are followed to reduce healthcare utilization and improve patient outcomes.

ICD-9 vs ICD-10

The clinical significance of L02.11 lies in its potential to lead to serious complications if left untreated, such as systemic infection or sepsis. Understanding the epidemiology of cutaneous abscesses, particularly in populations with higher rates of skin infections, can inform public health initiatives. Quality measures may include tracking the incidence of abscesses and ensuring appropriate treatment protocols are followed to reduce healthcare utilization and improve patient outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of the procedure performed, such as incision and drainage, and whether the procedure was performed in an outpatient or inpatient setting. Common denials may arise from insufficient documentation or incorrect coding. Best practices include ensuring that all clinical notes are complete and that the procedure codes accurately reflect the services rendered, along with the diagnosis code L02.11.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for L00-L99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for L00-L99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by L02.11?

L02.11 specifically covers cutaneous abscesses located on the neck. It includes abscesses resulting from bacterial infections, often stemming from folliculitis or trauma. It does not cover abscesses located in other areas of the body or those that are not cutaneous.

When should L02.11 be used instead of related codes?

L02.11 should be used when the abscess is specifically located on the neck and is confirmed to be cutaneous. If the abscess is in another location or if it is not cutaneous, other codes such as L02.9 should be considered.

What documentation supports L02.11?

Documentation should include a detailed description of the abscess, including its size, location, and characteristics, as well as any systemic symptoms. Treatment notes detailing incision and drainage procedures, along with culture results, should also be included.