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ICD-10 Guide
ICD-10 CodesL02.828

L02.828

Billable

Furuncle of other sites

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

Code Description

ICD-10 L02.828 is a billable code used to indicate a diagnosis of furuncle of other sites.

Key Diagnostic Point:

L02.828 refers to furuncles (boils) located on sites other than the commonly affected areas such as the face, neck, axillae, and buttocks. Clinically, a furuncle presents as a painful, swollen nodule that may be red and warm to the touch, often with a central necrotic area. The condition arises from the infection of hair follicles, typically caused by Staphylococcus aureus. The progression of a furuncle can lead to the formation of an abscess, which may require drainage. Diagnosis is primarily clinical, based on physical examination, though cultures may be taken to identify the causative organism in recurrent cases or when systemic symptoms are present. Differential diagnoses include carbuncles, folliculitis, and other skin infections. Understanding the anatomy involved, particularly the hair follicle and surrounding subcutaneous tissue, is crucial for effective management and treatment. Treatment typically involves incision and drainage, along with antibiotics in cases of extensive infection or systemic involvement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Common coding errors include misidentifying the site of the furuncle.
  • Documentation gaps may arise if the specific site is not clearly noted.
  • Billing challenges can occur if the treatment provided does not align with 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

Furuncles can significantly impact patient quality of life due to pain and potential complications such as abscess formation. They are common in populations with poor hygiene or underlying conditions that predispose to skin infections. Understanding the epidemiology of furuncles can help healthcare providers implement preventive measures and improve patient outcomes through education on skin care and hygiene practices.

ICD-9 vs ICD-10

Furuncles can significantly impact patient quality of life due to pain and potential complications such as abscess formation. They are common in populations with poor hygiene or underlying conditions that predispose to skin infections. Understanding the epidemiology of furuncles can help healthcare providers implement preventive measures and improve patient outcomes through education on skin care and hygiene practices.

Reimbursement & Billing Impact

Reimbursement considerations include the need for clear documentation of the procedure performed, especially if incision and drainage are involved. Common denials may arise from insufficient documentation or incorrect coding of the site. Best practices include verifying that the procedure codes align with the diagnosis and ensuring that all clinical notes are complete and accurate to support the claim.

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 L02.828?

L02.828 covers furuncles located on various sites excluding the face, neck, axillae, and buttocks. This includes furuncles on the trunk, limbs, and other atypical locations.

When should L02.828 be used instead of related codes?

L02.828 should be used when the furuncle is located on an unspecified site that does not fall under the specific codes for the face, neck, or other commonly coded areas. Accurate site documentation is essential.

What documentation supports L02.828?

Documentation should include a detailed description of the lesion, its location, size, and any associated symptoms. Clinical notes should reflect the diagnosis, treatment plan, and any follow-up care provided.