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ICD-10 Guide
ICD-10 CodesL02.622

L02.622

Billable

Furuncle of left foot

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

Code Description

ICD-10 L02.622 is a billable code used to indicate a diagnosis of furuncle of left foot.

Key Diagnostic Point:

L02.622 refers to a furuncle (boil) located on the left foot, which is a localized infection of the hair follicle typically caused by Staphylococcus aureus. Clinically, a furuncle presents as a painful, swollen, and erythematous nodule that may contain pus. The infection often arises from a break in the skin or an existing skin condition, leading to inflammation and the formation of a painful abscess. The anatomy involved includes the skin and subcutaneous tissue of the foot, particularly where hair follicles are present. Disease progression can vary; if untreated, a furuncle may rupture, leading to drainage of pus and potential spread of infection. Diagnostic considerations include a thorough clinical examination and, if necessary, cultures to identify the causative organism. Differential diagnoses may include carbuncles, cellulitis, or other skin infections. Prompt diagnosis and treatment are crucial to prevent complications such as systemic infection or recurrent furuncles.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Moderate, as it requires clinical evaluation and possible laboratory tests.
  • Treatment complexity: Moderate, as treatment may involve incision and drainage, antibiotics, or both.
  • Documentation requirements: Moderate, necessitating detailed clinical notes and treatment plans.
  • Coding specificity: High, as it specifically identifies the location and type of skin infection.

Audit Risk Factors

  • Common coding errors: Misidentification of the site or type of infection.
  • Documentation gaps: Incomplete clinical notes regarding the nature and treatment of the furuncle.
  • Billing challenges: Potential denials if the documentation does not clearly support the diagnosis.

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: 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

The clinical significance of L02.622 lies in its potential to lead to more severe infections if not treated promptly. Population health impact includes the need for effective management of skin infections to reduce healthcare utilization and prevent complications. Quality measures may focus on timely treatment and follow-up care to ensure optimal patient outcomes. Epidemiologically, furuncles are common in individuals with compromised skin integrity or immune function, highlighting the importance of preventive measures in at-risk populations.

ICD-9 vs ICD-10

The clinical significance of L02.622 lies in its potential to lead to more severe infections if not treated promptly. Population health impact includes the need for effective management of skin infections to reduce healthcare utilization and prevent complications. Quality measures may focus on timely treatment and follow-up care to ensure optimal patient outcomes. Epidemiologically, furuncles are common in individuals with compromised skin integrity or immune function, highlighting the importance of preventive measures in at-risk populations.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of the procedure performed, such as incision and drainage, and whether antibiotics were prescribed. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. It is essential to ensure that all relevant details are captured in the medical record to support the coding and billing process effectively.

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 L02.622?

L02.622 specifically covers furuncles (boils) located on the left foot, which are localized infections of hair follicles. It does not cover other skin infections or conditions such as cellulitis or abscesses in different locations.

When should L02.622 be used instead of related codes?

L02.622 should be used when the clinical presentation specifically indicates a furuncle on the left foot. If the infection is on the right foot, L02.621 should be used. Additionally, if the condition is more generalized or involves multiple sites, other codes may be more appropriate.

What documentation supports L02.622?

Documentation should include a detailed clinical examination noting the location, size, and characteristics of the furuncle, any associated symptoms, treatment provided, and follow-up care. Laboratory results, if obtained, should also be included.