ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesL02.63

L02.63

Non-billable

Carbuncle of foot

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

Code Description

ICD-10 L02.63 is a used to indicate a diagnosis of carbuncle of foot.

Key Diagnostic Point:

A carbuncle of the foot is a painful cluster of boils that form a connected area of infection beneath the skin, typically caused by Staphylococcus aureus bacteria. Clinically, it presents as a red, swollen area on the foot, often with multiple openings that drain pus. The condition usually arises in areas of friction or where the skin is broken, making the foot a common site due to pressure from footwear. Disease progression can lead to systemic symptoms such as fever and malaise if left untreated. Diagnosis is primarily clinical, based on the appearance of the lesion, but may be supported by cultures or imaging if deeper tissue involvement is suspected. Differential diagnoses include abscesses, folliculitis, and cellulitis, necessitating careful evaluation to ensure appropriate treatment. Treatment typically involves incision and drainage of the carbuncle, along with antibiotics if systemic symptoms are present or if the patient is immunocompromised. Follow-up care is essential to monitor for recurrence or complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires clinical evaluation and sometimes laboratory confirmation.
  • Treatment complexity: Involves surgical intervention and potential antibiotic therapy.
  • Documentation requirements: Must detail the clinical presentation, treatment provided, and follow-up.
  • Coding specificity: Requires accurate coding to differentiate from similar skin infections.

Audit Risk Factors

  • Common coding errors: Misidentifying the site of infection or failing to document the presence of systemic symptoms.
  • Documentation gaps: Incomplete records regarding the treatment plan or follow-up care.
  • Billing challenges: Potential denials if the documentation does not support the severity of the condition.

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

Podiatry

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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Carbuncles of the foot can significantly impact patient quality of life, leading to pain, mobility issues, and potential complications if untreated. They are more prevalent in populations with diabetes or compromised immune systems, highlighting the need for effective management strategies. Understanding the epidemiology of skin infections like carbuncles can inform public health initiatives aimed at reducing incidence rates and improving patient outcomes.

ICD-9 vs ICD-10

Carbuncles of the foot can significantly impact patient quality of life, leading to pain, mobility issues, and potential complications if untreated. They are more prevalent in populations with diabetes or compromised immune systems, highlighting the need for effective management strategies. Understanding the epidemiology of skin infections like carbuncles can inform public health initiatives aimed at reducing incidence rates and improving patient outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of the procedure performed, such as incision and drainage, and whether antibiotics were prescribed. Common denials may arise if the documentation does not clearly support the diagnosis or if the procedure is not adequately justified. Best practices include ensuring that all clinical notes are complete and that the rationale for treatment is clearly articulated.

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 L02.63?

L02.63 specifically covers carbuncles located on the foot, which are characterized by multiple interconnected boils and may involve surrounding tissue. It is important to differentiate this from other skin infections such as abscesses or cellulitis.

When should L02.63 be used instead of related codes?

L02.63 should be used when the clinical presentation specifically indicates a carbuncle on the foot. If the lesion is located elsewhere, such as the trunk or face, the appropriate code should be selected based on the anatomical site.

What documentation supports L02.63?

Documentation should include a detailed description of the lesion, any systemic symptoms, treatment provided (such as incision and drainage), and follow-up care instructions. Cultures or imaging results may also support the diagnosis.