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v1.0.0
ICD-10 Guide
DiagnosesLabial Abscess

Labial Abscess

ICD-10 Coding for Labial Abscess(N76.4, N75.1)

PRIMARY SPECIALTYEmergency Medicine
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Labial Abscess?
Essential facts and insights about Labial Abscess

Key Clinical Considerations:

  • Localized swelling and tenderness in the labial area
  • Pus formation upon examination or imaging
  • Fever or systemic signs of infection

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including onset and duration of symptoms
  • Detailed description of the abscess location and size
  • Assessment of any associated systemic symptoms

Coding Guidelines

Usage Guidelines & Examples

  • Ensure correct side is documented to avoid coding errors.
  • Common errors include misclassifying the abscess type or location.

Code Exclusions

Important Exclusions

  • Other types of skin abscesses not located in the labial area
  • Conditions such as labial cysts or tumors

Related ICD-10 Codes

Primary Codes
L02.211
Labial abscess, right side
L02.212
Labial abscess, left side
Ancillary Codes
B95.6
B96.21
Differential Codes
N75.1
L03.90
N76.4

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Emergency Medicine

Specialty Applications

  • Patients presenting with acute labial swelling or pain
  • Emergency departments and urgent care settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include detailed patient history, physical exam findings, and treatment plan.

Billing considerations?

Ensure accurate coding to reflect the complexity of the case and any procedures performed.