ICD-10 Coding for Axillary Abscess(L02.411, L02.412)
Complete ICD-10-CM coding and documentation guide for Axillary Abscess. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Axillary Abscess
L02.41-L02.42Primary Range
Cutaneous abscess of axilla
This range includes specific codes for abscesses located in the axillary region, differentiated by laterality.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| L02.411 | Cutaneous abscess of right axilla | Use when the abscess is located in the right axilla and is confirmed by clinical examination. |
|
| L02.412 | Cutaneous abscess of left axilla | Use when the abscess is located in the left axilla and is confirmed by clinical examination. |
|
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 axillary abscess
Essential facts and insights about Axillary Abscess
Primary ICD-10-CM Codes for axillary abscess
Decision Criteria
clinical Criteria
- Presence of a fluctuant mass with purulent drainage in the right axilla.
Applicable To
- Right axillary abscess
Excludes
- Hidradenitis suppurativa (L73.2)
Clinical Validation Requirements
- Documented fluctuant mass in right axilla
- Presence of purulent drainage
Code-Specific Risks
- Incorrect laterality documentation
- Confusion with cellulitis
Coding Notes
- Ensure laterality is clearly documented to avoid unspecified coding.
L02.412 - Cutaneous abscess of left axilla
Use when the abscess is located in the left axilla and is confirmed by clinical examination.
Applicable To
- Left axillary abscess
Excludes
- Hidradenitis suppurativa (L73.2)
Clinical Validation Requirements
- Documented fluctuant mass in left axilla
- Presence of purulent drainage
Coding Notes
Ensure laterality is clearly documented to avoid unspecified coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Sepsis, unspecified organism
A41.9Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Axillary Abscess to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L02.411.
Impact
Clinical: Inaccurate patient records., Regulatory: Non-compliance with coding guidelines., Financial: Potential claim denials.
Mitigation Strategy
Always include laterality in documentation.
Impact
Reimbursement: Unspecified codes may lead to claim denials or reduced reimbursement., Compliance: Non-compliance with specificity requirements., Data Quality: Decreased accuracy in patient records.
Mitigation Strategy
Specify laterality by using L02.411 for right or L02.412 for left axilla.
Impact
Failure to document laterality can lead to audit findings.
Mitigation Strategy
Implement mandatory fields for laterality in EHR templates.
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 Axillary Abscess, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Axillary Abscess
Use these documentation templates to ensure complete and accurate documentation for Axillary Abscess. These templates include all required elements for proper coding and billing.
Emergency Department I&D Procedure
Specialty: Emergency MedicineRequired Elements
- Indication for procedure
- Anesthesia used
- Incision details
- Findings and drainage
- Post-procedure care
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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