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ICD-10 Guide
ICD-10 CodesL02.411

L02.411

Billable

Cutaneous abscess of right axilla

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

Code Description

ICD-10 L02.411 is a billable code used to indicate a diagnosis of cutaneous abscess of right axilla.

Key Diagnostic Point:

L02.411 refers to a cutaneous abscess located in the right axilla, which is a localized collection of pus within the skin or subcutaneous tissue. Clinically, patients may present with symptoms such as localized swelling, redness, warmth, and tenderness in the axillary region. The abscess may be associated with systemic symptoms like fever or malaise if the infection is severe. The axilla is anatomically significant as it contains important structures, including lymph nodes, blood vessels, and nerves, making the management of infections in this area critical. Disease progression can vary; if left untreated, an abscess may lead to complications such as cellulitis or systemic infection. Diagnostic considerations include a thorough clinical examination, imaging studies if necessary, and possibly aspiration or drainage to confirm the presence of pus. Laboratory tests may also be performed to identify the causative organism, which is essential for guiding antibiotic therapy.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires clinical evaluation and possibly imaging.
  • Treatment complexity: May involve drainage and antibiotic therapy.
  • Documentation requirements: Detailed clinical notes and follow-up care.
  • Coding specificity: Specific to the location and type of abscess.

Audit Risk Factors

  • Common coding errors: Misidentifying the location or type of abscess.
  • Documentation gaps: Incomplete clinical notes regarding symptoms and treatment.
  • Billing challenges: Potential denials if documentation does not support the diagnosis.

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

Primary Care

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 L02.411 lies in its potential to lead to more severe infections if not treated promptly. In terms of population health, cutaneous abscesses are common and can affect individuals of all ages, leading to increased healthcare utilization. Quality measures may include timely diagnosis and treatment to prevent complications. Understanding the epidemiology of skin infections can help healthcare providers implement preventive strategies and improve patient outcomes.

ICD-9 vs ICD-10

The clinical significance of L02.411 lies in its potential to lead to more severe infections if not treated promptly. In terms of population health, cutaneous abscesses are common and can affect individuals of all ages, leading to increased healthcare utilization. Quality measures may include timely diagnosis and treatment to prevent complications. Understanding the epidemiology of skin infections can help healthcare providers implement preventive strategies and improve patient outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of the procedure performed, such as drainage, and any associated costs for laboratory tests. Common denials may arise from insufficient documentation or incorrect coding of the abscess location. Best practices include thorough clinical notes, clear descriptions of the procedure, and ensuring that the diagnosis aligns with the services billed.

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 L02.411?

L02.411 specifically covers cutaneous abscesses located in the right axilla, which may arise from various causes including bacterial infections, blocked sweat glands, or ingrown hairs. It is important to differentiate this from other skin infections such as cellulitis or folliculitis.

When should L02.411 be used instead of related codes?

L02.411 should be used when a patient presents with a confirmed cutaneous abscess specifically in the right axilla. If the abscess is in a different location, such as the left axilla or another body part, the corresponding code should be selected.

What documentation supports L02.411?

Documentation should include a detailed clinical assessment of the abscess, including size, symptoms, treatment provided (such as drainage), and any laboratory results that confirm infection. Follow-up notes should also be included to demonstrate resolution or ongoing management.