Furuncle of perineum
ICD-10 L02.225 is a billable code used to indicate a diagnosis of furuncle of perineum.
Furuncle of the perineum, commonly known as a boil, is a painful, pus-filled bump that forms under the skin due to bacterial infection, typically by Staphylococcus aureus. The perineum, which is the area between the anus and the genitals, can be particularly susceptible to furuncles due to moisture, friction, and hair follicles in the region. Clinically, patients may present with localized swelling, redness, tenderness, and the formation of a central pustule. As the furuncle progresses, it may rupture, leading to drainage of pus and relief of pain. In some cases, multiple furuncles can cluster together, forming a carbuncle. Diagnosis is primarily clinical, based on the characteristic appearance and symptoms. Differential diagnoses may include hidradenitis suppurativa, folliculitis, and abscesses. Laboratory tests are rarely needed unless systemic infection is suspected. Treatment typically involves warm compresses to promote drainage, and in some cases, incision and drainage may be necessary. Antibiotics may be prescribed if there is significant surrounding cellulitis or recurrent infections.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
L02.225 specifically covers furuncles located in the perineum, which are characterized by painful, swollen lumps filled with pus due to bacterial infection. It does not include other skin infections or conditions such as abscesses or cellulitis unless they are specifically identified as furuncles.
L02.225 should be used when the furuncle is specifically located in the perineum. If the lesion is located in another area, such as the buttock or thigh, the corresponding codes L02.224 or L02.226 should be used. Accurate anatomical localization is crucial for proper coding.
Documentation should include a detailed description of the lesion's location, size, symptoms, and any treatment provided. Clinical notes should indicate the diagnosis of a furuncle and any relevant history of recurrent infections or associated conditions.
