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 CodesL03.811

L03.811

Billable

Cellulitis of head [any part, except face]

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

Code Description

ICD-10 L03.811 is a billable code used to indicate a diagnosis of cellulitis of head [any part, except face].

Key Diagnostic Point:

Cellulitis of the head, excluding the face, is a bacterial infection that affects the skin and subcutaneous tissues. It typically presents as a swollen, red area that may feel warm to the touch and is often accompanied by pain or tenderness. The infection can arise from various sources, including insect bites, surgical wounds, or skin breaks. The anatomy involved includes the dermis and subcutaneous fat layers of the scalp, forehead, or other areas of the head. Disease progression can lead to systemic symptoms such as fever, chills, and malaise if left untreated. Diagnostic considerations include a thorough clinical examination, patient history, and, in some cases, imaging studies to rule out abscess formation or deeper tissue involvement. Laboratory tests may be performed to identify the causative organism, particularly in recurrent cases or when the patient is immunocompromised.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires clinical evaluation and may involve imaging or lab tests.
  • Treatment complexity: Often necessitates antibiotics and may require surgical intervention for abscess drainage.
  • Documentation requirements: Detailed clinical notes are essential to support diagnosis and treatment.
  • Coding specificity: Requires precise documentation to differentiate from other types of cellulitis.

Audit Risk Factors

  • Common coding errors: Misidentifying the site of cellulitis or using a more general code.
  • Documentation gaps: Incomplete clinical notes that do not support the diagnosis.
  • Billing challenges: Potential denials if the documentation does not clearly justify the diagnosis and treatment.

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

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

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

Cellulitis of the head can significantly impact patient health, leading to complications if not treated promptly. It is essential for healthcare providers to recognize the signs and symptoms early to reduce hospitalizations and improve patient outcomes. Understanding the epidemiology of cellulitis can help in identifying at-risk populations and implementing preventive measures, ultimately enhancing the quality of care and resource utilization in healthcare settings.

ICD-9 vs ICD-10

Cellulitis of the head can significantly impact patient health, leading to complications if not treated promptly. It is essential for healthcare providers to recognize the signs and symptoms early to reduce hospitalizations and improve patient outcomes. Understanding the epidemiology of cellulitis can help in identifying at-risk populations and implementing preventive measures, ultimately enhancing the quality of care and resource utilization in healthcare settings.

Reimbursement & Billing Impact

Reimbursement considerations include the severity of the infection and the complexity of the treatment plan. Common denials may arise from insufficient documentation or incorrect coding. It is crucial to ensure that the diagnosis is clearly supported by the clinical notes and that any procedures performed, such as drainage, are accurately coded to avoid billing issues.

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 L03.811?

L03.811 covers cellulitis specifically located on the head, excluding the face, which may include infections resulting from trauma, surgical procedures, or skin conditions that compromise the integrity of the skin.

When should L03.811 be used instead of related codes?

L03.811 should be used when the infection is localized to the head and does not involve the facial area. It is important to differentiate based on the anatomical location to ensure accurate coding.

What documentation supports L03.811?

Documentation should include a detailed clinical assessment, patient history, and any relevant imaging or laboratory results that confirm the diagnosis of cellulitis in the specified area.