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ICD-10 Guide
ICD-10 CodesL02.821

L02.821

Billable

Furuncle of head [any part, except face]

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

Code Description

ICD-10 L02.821 is a billable code used to indicate a diagnosis of furuncle of head [any part, except face].

Key Diagnostic Point:

L02.821 refers to a furuncle, commonly known as a boil, located on the head, excluding the face. This condition is characterized by a painful, pus-filled bump that arises from an infected hair follicle, often caused by Staphylococcus aureus. Clinically, patients may present with localized swelling, redness, and tenderness in the affected area, which can lead to systemic symptoms such as fever if the infection is severe. The anatomy involved includes the skin and subcutaneous tissue of the scalp or other parts of the head, where hair follicles are present. Disease progression typically involves the formation of a painful nodule that may rupture and drain pus. Diagnostic considerations include a thorough clinical examination and, if necessary, culture of the pus to identify the causative organism. Differential diagnoses may include other skin infections such as carbuncles or abscesses. Prompt treatment is essential to prevent complications, including the spread of infection or the development of chronic skin conditions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Moderate, as it requires differentiation from other skin infections.
  • Treatment complexity: Moderate, as it may require drainage and antibiotic therapy.
  • Documentation requirements: Moderate, necessitating detailed clinical notes and possibly lab results.
  • Coding specificity: High, as it specifically identifies the location and type of infection.

Audit Risk Factors

  • Common coding errors: Misidentifying the location of the furuncle.
  • Documentation gaps: Incomplete clinical notes regarding symptoms and treatment.
  • 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

Furuncles can significantly impact patient quality of life due to pain and discomfort, and they may lead to increased healthcare utilization if complications arise. Understanding the epidemiology of furuncles, particularly in populations with higher incidences such as those with diabetes or immunocompromised states, is essential for effective management and prevention strategies. Quality measures may include tracking the incidence of skin infections and ensuring appropriate treatment protocols are followed.

ICD-9 vs ICD-10

Furuncles can significantly impact patient quality of life due to pain and discomfort, and they may lead to increased healthcare utilization if complications arise. Understanding the epidemiology of furuncles, particularly in populations with higher incidences such as those with diabetes or immunocompromised states, is essential for effective management and prevention strategies. Quality measures may include tracking the incidence of skin infections and ensuring appropriate treatment protocols are followed.

Reimbursement & Billing Impact

Reimbursement considerations include the need for clear clinical notes that justify the procedure performed, especially if incision and drainage are involved. Common denials may arise from insufficient documentation or incorrect coding of the location. Best practices include thorough documentation of the patient's symptoms, treatment plan, and follow-up care to support the medical necessity of the services provided.

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 L02.821?

L02.821 covers furuncles located on the head, excluding the face. It specifically pertains to infections of hair follicles that result in localized abscess formation, typically caused by bacterial infections.

When should L02.821 be used instead of related codes?

L02.821 should be used when the furuncle is specifically located on the head and not on the face. If the lesion is on the face, L02.82 would be more appropriate.

What documentation supports L02.821?

Documentation should include a detailed clinical examination, description of the lesion, any systemic symptoms, treatment provided, and follow-up care. Cultures may also be documented if performed.