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ICD-10 Guide
ICD-10 CodesL02.41

L02.41

Non-billable

Cutaneous abscess of limb

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

Code Description

ICD-10 L02.41 is a used to indicate a diagnosis of cutaneous abscess of limb.

Key Diagnostic Point:

L02.41 refers to a cutaneous abscess of the limb, which is a localized collection of pus within the dermis or subcutaneous tissue, typically resulting from infection. Clinically, patients may present with symptoms such as localized swelling, redness, warmth, and tenderness in the affected area. The abscess may be fluctuant upon examination, indicating the presence of pus. Common pathogens include Staphylococcus aureus, including methicillin-resistant strains (MRSA). The anatomy involved primarily includes the skin layers (epidermis, dermis) and the subcutaneous tissue, which can become compromised due to trauma, foreign bodies, or underlying skin conditions. Disease progression can lead to systemic symptoms if the infection spreads, necessitating prompt medical intervention. Diagnostic considerations include physical examination, imaging studies (like ultrasound), and laboratory tests to identify the causative organism. Treatment typically involves incision and drainage, along with antibiotic therapy if indicated, particularly in cases of extensive infection or immunocompromised patients.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires clinical evaluation and sometimes imaging.
  • Treatment complexity: May involve surgical intervention and antibiotic management.
  • Documentation requirements: Detailed clinical notes are necessary to support diagnosis.
  • Coding specificity: Requires precise coding to differentiate from other abscess types.

Audit Risk Factors

  • Common coding errors: Misclassification of abscess type or location.
  • Documentation gaps: Incomplete clinical notes regarding symptoms or treatment.
  • Billing challenges: Denials may arise from insufficient evidence of medical necessity.

Specialty Focus

Medical Specialties

Primary medical specialty: 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

Secondary specialty: 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 L02.41 lies in its potential to lead to systemic infections if left untreated, impacting patient health outcomes. Population health considerations include the prevalence of skin infections, particularly in immunocompromised individuals. Quality measures may focus on timely intervention and appropriate antibiotic use, while healthcare utilization patterns can reflect the need for surgical intervention in severe cases. Epidemiologically, understanding the incidence of cutaneous abscesses can inform public health strategies aimed at infection prevention.

ICD-9 vs ICD-10

The clinical significance of L02.41 lies in its potential to lead to systemic infections if left untreated, impacting patient health outcomes. Population health considerations include the prevalence of skin infections, particularly in immunocompromised individuals. Quality measures may focus on timely intervention and appropriate antibiotic use, while healthcare utilization patterns can reflect the need for surgical intervention in severe cases. Epidemiologically, understanding the incidence of cutaneous abscesses can inform public health strategies aimed at infection prevention.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of the procedure performed, such as incision and drainage, and any associated laboratory tests. Common denials may occur if documentation does not clearly establish the medical necessity for the procedure or if the abscess is not adequately described. Coders should ensure that all relevant details are captured to support the claim and reduce the risk of audit.

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 L02.41?

L02.41 specifically covers cutaneous abscesses located on the limbs, which may arise from various causes such as bacterial infections, insect bites, or underlying skin conditions. It does not include abscesses located on other body parts, which are classified under different codes.

When should L02.41 be used instead of related codes?

L02.41 should be used when the abscess is specifically located on a limb. If the abscess is on the trunk or other areas, related codes such as L02.42 or L02.43 should be utilized. Accurate anatomical localization is crucial for proper coding.

What documentation supports L02.41?

Documentation should include a detailed clinical examination note describing the abscess's location, size, symptoms, and any relevant history. Surgical notes for incision and drainage procedures, along with culture results if obtained, are also essential for supporting the diagnosis.