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ICD-10 Guide
ICD-10 CodesL02.233

L02.233

Billable

Carbuncle of chest wall

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

Code Description

ICD-10 L02.233 is a billable code used to indicate a diagnosis of carbuncle of chest wall.

Key Diagnostic Point:

A carbuncle of the chest wall is a painful cluster of boils that occurs when multiple hair follicles become infected, leading to a deep, pus-filled abscess. This condition typically presents as a red, swollen area on the chest, often accompanied by fever and malaise. The chest wall, which includes the skin and subcutaneous tissue, is particularly susceptible due to its exposure to friction and potential trauma. Carbuncles can develop from a variety of factors, including bacterial infections, particularly Staphylococcus aureus, and may be exacerbated by underlying conditions such as diabetes or immunosuppression. Disease progression can lead to systemic infection if not treated promptly, necessitating drainage and antibiotic therapy. Diagnostic considerations include a thorough clinical examination and, if necessary, cultures to identify the causative organism. It is crucial for healthcare providers to differentiate carbuncles from other skin lesions, such as furuncles or abscesses, to ensure appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires clinical evaluation and possibly laboratory tests to confirm infection.
  • Treatment complexity: May involve incision and drainage, along with antibiotic therapy.
  • Documentation requirements: Detailed clinical notes are necessary to support diagnosis and treatment.
  • Coding specificity: Requires precise coding to differentiate from other skin infections.

Audit Risk Factors

  • Common coding errors: Misclassification of carbuncles as furuncles.
  • Documentation gaps: Incomplete records regarding the extent of infection or treatment provided.
  • Billing challenges: Potential denials if documentation does not clearly support 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

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

Carbuncles, while often localized, can have significant clinical implications if they lead to systemic infections. They are more prevalent in populations with compromised immune systems or poor hygiene practices. Understanding the epidemiology of carbuncles can help healthcare providers implement preventive measures, particularly in at-risk populations. Quality measures may include tracking infection rates and treatment outcomes to improve patient care and reduce healthcare utilization.

ICD-9 vs ICD-10

Carbuncles, while often localized, can have significant clinical implications if they lead to systemic infections. They are more prevalent in populations with compromised immune systems or poor hygiene practices. Understanding the epidemiology of carbuncles can help healthcare providers implement preventive measures, particularly in at-risk populations. Quality measures may include tracking infection rates and treatment outcomes to improve patient care and reduce healthcare utilization.

Reimbursement & Billing Impact

Reimbursement may depend on the complexity of treatment, such as whether incision and drainage were performed. Common denials may arise from insufficient documentation or incorrect coding. It is advisable to include detailed notes on the clinical presentation, treatment provided, and any follow-up care to minimize the risk of denials and ensure appropriate reimbursement.

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 L02.233?

L02.233 specifically covers carbuncles located on the chest wall, which are characterized by multiple interconnected boils that are painful and may drain pus. It is important to differentiate this from other skin infections such as furuncles or simple abscesses.

When should L02.233 be used instead of related codes?

L02.233 should be used when there is a confirmed diagnosis of a carbuncle on the chest wall, particularly when multiple hair follicles are involved. If only a single hair follicle is infected, L02.232 (furuncle) would be more appropriate.

What documentation supports L02.233?

Documentation should include a detailed clinical assessment, notes on the size and number of lesions, any systemic symptoms, and treatment provided. Cultures or imaging may also be included to support the diagnosis.