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ICD-10 Guide
ICD-10 CodesL02.82

L02.82

Non-billable

Furuncle of other sites

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

Code Description

ICD-10 L02.82 is a used to indicate a diagnosis of furuncle of other sites.

Key Diagnostic Point:

L02.82 refers to a furuncle, commonly known as a boil, located on sites other than the face, neck, axilla, and groin. Clinically, furuncles present as painful, swollen nodules filled with pus, often arising from hair follicles due to bacterial infection, typically by Staphylococcus aureus. The lesions may be accompanied by erythema, warmth, and tenderness, and can develop into larger abscesses if not treated. The anatomy involved includes the skin and subcutaneous tissue where hair follicles are present. Disease progression can lead to systemic symptoms such as fever if the infection spreads. Diagnostic considerations include a thorough clinical examination, history of recurrent furuncles, and, in some cases, culture of the pus to identify the causative organism. Differential diagnoses may include carbuncles, cellulitis, and other skin infections. Treatment typically involves incision and drainage, along with antibiotics if there is systemic involvement or recurrent infections. Proper identification and coding of furuncles are essential for effective management and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Common coding errors include misidentifying the site of the furuncle.
  • Documentation gaps may arise if the clinical notes do not specify the site or characteristics of the lesion.
  • Billing challenges may occur if the treatment provided does not align with the diagnosis coded.

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

Primary Care

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

Furuncles can significantly impact population health due to their potential for recurrence and complications, such as systemic infections. Understanding the epidemiology of furuncles, particularly in populations with higher rates of skin infections, is crucial for healthcare providers. Quality measures may include tracking the incidence of furuncles and the effectiveness of treatment protocols, which can inform healthcare utilization patterns and resource allocation.

ICD-9 vs ICD-10

Furuncles can significantly impact population health due to their potential for recurrence and complications, such as systemic infections. Understanding the epidemiology of furuncles, particularly in populations with higher rates of skin infections, is crucial for healthcare providers. Quality measures may include tracking the incidence of furuncles and the effectiveness of treatment protocols, which can inform healthcare utilization patterns and resource allocation.

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 incorrect coding of the site. Best practices include thorough documentation of the clinical encounter, ensuring that the procedure aligns with the diagnosis, and verifying that all services rendered are coded accurately to avoid billing discrepancies.

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 L02.82?

L02.82 covers furuncles located on various body sites excluding the face, neck, axilla, and groin. It includes conditions where a hair follicle becomes infected, leading to localized abscess formation.

When should L02.82 be used instead of related codes?

L02.82 should be used when the furuncle is located on sites other than the specified areas in related codes. Accurate site identification is crucial for correct coding.

What documentation supports L02.82?

Documentation should include a detailed description of the lesion's location, size, and characteristics, as well as any treatment provided. Clinical notes should clearly indicate the diagnosis of a furuncle.