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ICD-10 Guide
ICD-10 CodesL02.439

L02.439

Billable

Carbuncle of limb, unspecified

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

Code Description

ICD-10 L02.439 is a billable code used to indicate a diagnosis of carbuncle of limb, unspecified.

Key Diagnostic Point:

A carbuncle is a cluster of interconnected furuncles (boils) that form a painful, pus-filled infection in the skin and subcutaneous tissue. Carbuncles typically occur in areas where hair follicles are present, such as the limbs, neck, and thighs. Clinically, they present as red, swollen lumps that may drain pus and are often accompanied by systemic symptoms such as fever and malaise. The underlying anatomy involved includes the epidermis, dermis, and subcutaneous tissue, where the infection can spread and cause significant inflammation. Disease progression can lead to complications such as abscess formation, cellulitis, or systemic infection if not treated promptly. Diagnostic considerations include a thorough clinical examination, patient history, and, if necessary, laboratory tests to identify the causative organism, commonly Staphylococcus aureus. It is essential to differentiate carbuncles from other skin conditions such as abscesses, folliculitis, and hidradenitis suppurativa to ensure appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

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 can significantly impact patient health, leading to discomfort, potential systemic infections, and increased healthcare utilization. Understanding the epidemiology of carbuncles, particularly in populations with higher risk factors such as diabetes or immunocompromised states, is essential for improving quality measures and health outcomes. Effective management and coding of these conditions can help in tracking incidence rates and tailoring public health interventions.

ICD-9 vs ICD-10

Carbuncles can significantly impact patient health, leading to discomfort, potential systemic infections, and increased healthcare utilization. Understanding the epidemiology of carbuncles, particularly in populations with higher risk factors such as diabetes or immunocompromised states, is essential for improving quality measures and health outcomes. Effective management and coding of these conditions can help in tracking incidence rates and tailoring public health interventions.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity of detailed clinical notes that outline the patient's symptoms, treatment provided, and any follow-up care. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for procedures performed. Best practices include using precise coding, maintaining thorough records, and ensuring that all services rendered are justified by the clinical scenario.

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 L02.439?

L02.439 covers carbuncles of the limb that are not specified as to the exact location or type. It includes cases where the infection is localized but does not provide further detail on the limb's specific area.

When should L02.439 be used instead of related codes?

L02.439 should be used when a carbuncle is present on a limb and no further specification is available. It is appropriate when the clinician has not documented the exact location or if the carbuncle is not classified under other specific codes.

What documentation supports L02.439?

Documentation should include a clear description of the lesion, its location, size, and any associated symptoms. Clinical notes should indicate the diagnosis of a carbuncle and any treatment provided, such as incision and drainage or antibiotic therapy.