ICD-10 Coding for Foot Abscess(L02.611, L02.612)
Complete ICD-10-CM coding and documentation guide for Foot Abscess. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Foot Abscess
L02.61-L02.619Primary Range
Cutaneous abscess of foot
This range covers abscesses specifically located on the foot, with codes for laterality.
Type 2 diabetes mellitus with other skin complications
Used when a foot abscess is a complication of diabetes.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| L02.611 | Cutaneous abscess of right foot | Use when the abscess is confined to the skin of the right foot without deeper involvement. |
|
| L02.612 | Cutaneous abscess of left foot | Use when the abscess is confined to the skin of the left foot without deeper involvement. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for foot abscess
Essential facts and insights about Foot Abscess
Primary ICD-10-CM Codes for abscess foot
Decision Criteria
clinical Criteria
- Abscess limited to skin and subcutaneous tissue
Applicable To
- Right foot abscess
Excludes
- Osteomyelitis (M86.37x)
Clinical Validation Requirements
- Presence of erythema, swelling, and purulent drainage on the right foot
Code-Specific Risks
- Incorrect laterality documentation
Coding Notes
- Ensure laterality is documented and confirmed.
L02.612 - Cutaneous abscess of left foot
Use when the abscess is confined to the skin of the left foot without deeper involvement.
Applicable To
- Left foot abscess
Excludes
- Osteomyelitis (M86.37x)
Clinical Validation Requirements
- Presence of erythema, swelling, and purulent drainage on the left foot
Coding Notes
Ensure laterality is documented and confirmed.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Staphylococcus aureus as the cause of diseases classified elsewhere
B95.6Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Foot Abscess to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L02.611.
Impact
Clinical: Lack of specificity in patient records., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denial or reduced reimbursement.
Mitigation Strategy
Always document laterality.
Impact
Reimbursement: Potential denial or reduced payment due to unspecified code., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Ensure documentation specifies right or left foot.
Impact
Failure to document laterality can lead to audit flags.
Mitigation Strategy
Implement mandatory laterality documentation checks.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Foot Abscess, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Foot Abscess
Use these documentation templates to ensure complete and accurate documentation for Foot Abscess. These templates include all required elements for proper coding and billing.
Post-I&D documentation for foot abscess
Specialty: PodiatryRequired Elements
- Patient history
- Physical exam findings
- Procedure details
- Follow-up care
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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