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ICD-10 Guide
ICD-10 CodesL03.325

L03.325

Billable

Acute lymphangitis of perineum

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

Code Description

ICD-10 L03.325 is a billable code used to indicate a diagnosis of acute lymphangitis of perineum.

Key Diagnostic Point:

Acute lymphangitis of the perineum is an inflammatory condition characterized by the infection of the lymphatic vessels in the perineal region, often resulting from bacterial infections, typically due to skin flora such as Streptococcus or Staphylococcus species. Clinically, patients may present with localized swelling, redness, tenderness, and warmth in the perineal area, often accompanied by systemic symptoms such as fever and malaise. The anatomy involved includes the lymphatic vessels that drain lymph from the perineum, which can become obstructed or inflamed due to infection. Disease progression can lead to complications such as abscess formation or systemic infection if not treated promptly. Diagnostic considerations include a thorough clinical examination, history of recent skin trauma, and laboratory tests to identify the causative organism. Imaging studies may be warranted in complicated cases to assess for abscess formation or deeper tissue involvement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires clinical evaluation and possibly laboratory tests to confirm infection.
  • Treatment complexity: May involve antibiotics and, in some cases, surgical intervention for abscess drainage.
  • Documentation requirements: Detailed clinical notes are necessary to support diagnosis and treatment.
  • Coding specificity: Requires precise coding to differentiate from other types of lymphangitis.

Audit Risk Factors

  • Common coding errors: Misclassification with other types of lymphangitis or skin infections.
  • Documentation gaps: Incomplete clinical notes regarding the extent of infection or treatment provided.
  • Billing challenges: Potential denials due to lack of supporting documentation for the diagnosis.

Specialty Focus

Medical Specialties

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

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

Related ICD-10 Codes

Related CPT Codes

CPT Code

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CPT Code

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Documentation Requirements

CPT Code

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Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Acute lymphangitis of the perineum can significantly impact patient health, leading to complications if not treated promptly. It is essential for healthcare providers to recognize and manage this condition effectively to prevent systemic infections. Understanding the epidemiology of this condition can inform public health strategies, particularly in populations at higher risk for skin infections. Quality measures may include monitoring treatment outcomes and patient satisfaction related to care for skin and soft tissue infections.

ICD-9 vs ICD-10

Acute lymphangitis of the perineum can significantly impact patient health, leading to complications if not treated promptly. It is essential for healthcare providers to recognize and manage this condition effectively to prevent systemic infections. Understanding the epidemiology of this condition can inform public health strategies, particularly in populations at higher risk for skin infections. Quality measures may include monitoring treatment outcomes and patient satisfaction related to care for skin and soft tissue infections.

Reimbursement & Billing Impact

Reimbursement considerations include the severity of the condition and the complexity of care provided. Common denials may arise from insufficient documentation or misclassification of the diagnosis. Best practices include ensuring that all relevant clinical details are captured in the medical record and that the coding accurately reflects the services rendered.

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 L03.325?

L03.325 specifically covers acute lymphangitis localized to the perineum, which may arise from skin infections, trauma, or other inflammatory processes affecting the lymphatic system in that area.

When should L03.325 be used instead of related codes?

L03.325 should be used when the lymphangitis is specifically localized to the perineum, differentiating it from lymphangitis occurring in other anatomical regions such as the limbs or trunk.

What documentation supports L03.325?

Documentation should include a detailed clinical assessment of the perineal area, evidence of infection (e.g., fever, redness, swelling), and any laboratory results confirming the diagnosis.