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ICD-10 Guide
ICD-10 CodesL02.639

L02.639

Billable

Carbuncle of unspecified foot

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

Code Description

ICD-10 L02.639 is a billable code used to indicate a diagnosis of carbuncle of unspecified foot.

Key Diagnostic Point:

L02.639 refers to a carbuncle of the unspecified foot, which is a painful cluster of boils that form a connected area of infection beneath the skin. Carbuncles are typically caused by Staphylococcus aureus bacteria and can occur when hair follicles become infected. Clinically, patients may present with red, swollen lumps that can be tender to the touch, often accompanied by fever and malaise in more severe cases. The anatomy involved includes the skin and subcutaneous tissue of the foot, where the infection can lead to abscess formation. Disease progression can vary; if untreated, carbuncles may drain spontaneously or require surgical intervention. Diagnostic considerations include a thorough clinical examination and, if necessary, culture of the pus to identify the causative organism. Differential diagnoses may include other skin infections such as furuncles, cellulitis, or abscesses, which necessitate careful evaluation to ensure appropriate treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

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 L02.639 lies in its potential to cause discomfort and systemic infection if left untreated. Population health impacts include the need for effective management of skin infections to prevent complications. Quality measures may focus on timely treatment and patient education regarding skin hygiene. Healthcare utilization patterns may reflect increased visits to primary care and dermatology for skin infections, highlighting the importance of awareness and early intervention in managing such conditions.

ICD-9 vs ICD-10

The clinical significance of L02.639 lies in its potential to cause discomfort and systemic infection if left untreated. Population health impacts include the need for effective management of skin infections to prevent complications. Quality measures may focus on timely treatment and patient education regarding skin hygiene. Healthcare utilization patterns may reflect increased visits to primary care and dermatology for skin infections, highlighting the importance of awareness and early intervention in managing such conditions.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of the treatment provided, such as whether an incision and drainage procedure was performed. Common denials may arise from insufficient documentation or incorrect coding of the site. Best practices include thorough documentation of the clinical encounter, including patient history, examination findings, and treatment provided, to support the medical necessity of the services rendered.

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 L02.639?

L02.639 specifically covers carbuncles located on the foot, which are characterized by the presence of multiple interconnected boils. It does not include other types of skin infections or lesions that may appear on the foot.

When should L02.639 be used instead of related codes?

L02.639 should be used when the carbuncle is specifically located on the foot and no further specification is available. If the carbuncle is located on another part of the body, or if it is a single boil, other codes should be considered.

What documentation supports L02.639?

Documentation should include a detailed clinical assessment of the carbuncle, including its location, size, symptoms, and any laboratory results that confirm the diagnosis. Photographic evidence may also be beneficial.