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 CodesL03.311

L03.311

Billable

Cellulitis of abdominal wall

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

Code Description

ICD-10 L03.311 is a billable code used to indicate a diagnosis of cellulitis of abdominal wall.

Key Diagnostic Point:

Cellulitis of the abdominal wall is an acute, diffuse infection of the skin and subcutaneous tissue, primarily caused by bacteria such as Streptococcus and Staphylococcus species. Clinically, it presents with symptoms including erythema, swelling, warmth, and tenderness in the affected area. The abdominal wall, composed of skin, subcutaneous fat, and underlying fascia, is particularly susceptible to cellulitis due to potential breaks in the skin barrier from surgical wounds, insect bites, or trauma. Disease progression can lead to systemic symptoms such as fever and chills, indicating a more severe infection. Diagnostic considerations include a thorough clinical examination, patient history, and, if necessary, imaging studies to rule out abscess formation or deeper tissue involvement. Laboratory tests may also be performed to identify the causative organism and assess the patient's inflammatory response. Early recognition and treatment are crucial to prevent complications such as sepsis or necrotizing fasciitis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires clinical evaluation and possibly imaging.
  • Treatment complexity: May involve antibiotics and, in severe cases, surgical intervention.
  • Documentation requirements: Detailed clinical notes and history are essential.
  • Coding specificity: Requires accurate coding to differentiate from other skin infections.

Audit Risk Factors

  • Common coding errors: Misclassification with other skin infections.
  • Documentation gaps: Incomplete patient history or lack of clinical findings.
  • Billing challenges: Denials due to insufficient documentation or coding errors.

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: Infectious Disease

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

Cellulitis of the abdominal wall has significant clinical implications, as it can lead to serious complications if not treated promptly. The condition affects a diverse population, with higher incidence rates in individuals with diabetes, obesity, or immunocompromised states. Understanding the epidemiology of cellulitis can inform public health strategies aimed at reducing incidence and improving patient outcomes. Quality measures may include tracking infection rates and treatment efficacy, which can help optimize healthcare utilization patterns.

ICD-9 vs ICD-10

Cellulitis of the abdominal wall has significant clinical implications, as it can lead to serious complications if not treated promptly. The condition affects a diverse population, with higher incidence rates in individuals with diabetes, obesity, or immunocompromised states. Understanding the epidemiology of cellulitis can inform public health strategies aimed at reducing incidence and improving patient outcomes. Quality measures may include tracking infection rates and treatment efficacy, which can help optimize healthcare utilization patterns.

Reimbursement & Billing Impact

Reimbursement considerations include the severity of the infection and the necessity for potential surgical intervention. Common denials may arise from insufficient documentation or incorrect coding. To avoid these issues, ensure that all clinical findings are well-documented, and that the coding accurately reflects the diagnosis and treatment provided. Familiarity with payer-specific guidelines can also enhance billing success.

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 L03.311?

L03.311 specifically covers cellulitis of the abdominal wall, characterized by localized infection of the skin and subcutaneous tissue. It is important to differentiate it from other types of cellulitis that may affect different body parts or have different etiologies.

When should L03.311 be used instead of related codes?

L03.311 should be used when the cellulitis is specifically localized to the abdominal wall. If the infection is more generalized or affects other areas, other codes such as L03.31 may be more appropriate.

What documentation supports L03.311?

Documentation should include a detailed clinical examination, patient history indicating potential causes (e.g., trauma, surgery), and any laboratory or imaging results that support the diagnosis of cellulitis localized to the abdominal wall.