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ICD-10 Guide
ICD-10 CodesL02.51

L02.51

Non-billable

Cutaneous abscess of hand

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

Code Description

ICD-10 L02.51 is a used to indicate a diagnosis of cutaneous abscess of hand.

Key Diagnostic Point:

L02.51 refers to a cutaneous abscess of the hand, which is a localized collection of pus within the dermis or subcutaneous tissue. Clinically, patients may present with symptoms such as localized swelling, redness, warmth, and tenderness in the affected area. The abscess may be accompanied by systemic symptoms like fever or malaise, particularly if the infection is severe. The anatomy involved primarily includes the skin layers, particularly the epidermis and dermis, as well as the underlying subcutaneous tissue. Disease progression can vary; if untreated, an abscess may lead to further infection, cellulitis, or systemic spread. Diagnostic considerations include a thorough clinical examination, and in some cases, imaging studies may be warranted to assess the extent of the abscess. Aspiration or incision and drainage are common procedures performed to manage the abscess, and microbiological cultures may be obtained to identify the causative organism and guide antibiotic therapy.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Moderate; requires clinical evaluation and possible imaging.
  • Treatment complexity: Moderate; may involve surgical intervention and antibiotic therapy.
  • Documentation requirements: Requires detailed clinical notes and possibly operative reports.
  • Coding specificity: Specific to cutaneous abscess of the hand; differentiation from other abscess types is necessary.

Audit Risk Factors

  • Common coding errors: Misclassification of abscess location or type.
  • Documentation gaps: Incomplete clinical notes regarding the abscess characteristics.
  • Billing challenges: Potential denials if the procedure performed is not well-documented.

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: General Surgery

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

The clinical significance of L02.51 lies in its potential to lead to more severe infections if not treated promptly. Population health impact includes the need for timely intervention to prevent complications, which can increase healthcare utilization. Quality measures may focus on the timely management of skin infections, and epidemiological considerations highlight the prevalence of skin abscesses in various populations, particularly among those with compromised immune systems or poor hygiene.

ICD-9 vs ICD-10

The clinical significance of L02.51 lies in its potential to lead to more severe infections if not treated promptly. Population health impact includes the need for timely intervention to prevent complications, which can increase healthcare utilization. Quality measures may focus on the timely management of skin infections, and epidemiological considerations highlight the prevalence of skin abscesses in various populations, particularly among those with compromised immune systems or poor hygiene.

Reimbursement & Billing Impact

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 L02.51?

L02.51 specifically covers cutaneous abscesses located on the hand, which may arise from various causes including bacterial infections, foreign body reactions, or complications from skin conditions. It is essential to differentiate it from other types of abscesses, such as those located on the foot or other body parts.

When should L02.51 be used instead of related codes?

L02.51 should be used when the abscess is specifically located on the hand. If the abscess is on another part of the body, such as the foot or trunk, the appropriate related code should be selected. Accurate anatomical localization is critical for correct coding.

What documentation supports L02.51?

Documentation should include a detailed clinical examination note describing the abscess's size, location, and characteristics, as well as any systemic symptoms. Operative reports for drainage procedures and microbiological culture results should also be included to support the diagnosis.