ICD-10 Coding for Cellulitis of Buttock(L03.317)
Complete ICD-10-CM coding and documentation guide for Cellulitis of Buttock. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cellulitis of Buttock
L00-L08Primary Range
Infections of the skin and subcutaneous tissue
This range includes codes for cellulitis, which is an infection of the skin and subcutaneous tissues.
Bacterial and viral infectious agents
These codes are used to identify the infectious organism causing the cellulitis, such as Staphylococcus aureus.
Key Information: ICD-10 code for cellulitis of buttock
Essential facts and insights about Cellulitis of Buttock
Primary ICD-10-CM Code for cellulitis of buttock
Decision Criteria
clinical Criteria
- Presence of erythema, warmth, and swelling in the buttock region.
documentation Criteria
- Absence of fluctuance or purulent drainage.
Applicable To
- Infection of the gluteal region
Excludes
- Abscess of buttock (L02.31)
Clinical Validation Requirements
- Diffuse erythema and tenderness in the gluteal region
- No abscess formation on imaging
Code-Specific Risks
- Incorrectly coding laterality, which is not required for this code.
Coding Notes
- Ensure documentation specifies 'buttock' without laterality.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Methicillin-resistant Staphylococcus aureus (MRSA)
B95.62Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Abscess of buttock
L02.31Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Cellulitis of Buttock to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L03.317.
Impact
Clinical: Leads to vague clinical documentation., Regulatory: May result in non-compliance with coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Ensure specific location is documented, Use L03.317 for buttock cellulitis
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Remove any mention of left or right buttock in documentation.
Impact
Documenting laterality for a code that does not require it.
Mitigation Strategy
Educate providers on correct documentation practices.
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 Cellulitis of Buttock, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cellulitis of Buttock
Use these documentation templates to ensure complete and accurate documentation for Cellulitis of Buttock. These templates include all required elements for proper coding and billing.
Uncomplicated Cellulitis of Buttock
Specialty: Emergency MedicineRequired Elements
- Location: Entire gluteal region
- Findings: Diffuse erythema, warmth, tenderness
- Imaging: No abscess
- Labs: Elevated WBC, CRP
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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