ICD-10 Coding for Right Buttock Abscess(L02.311, L02.312, L02.313)
Complete ICD-10-CM coding and documentation guide for Right Buttock Abscess. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Buttock Abscess
L02.31-L02.33Primary Range
Cutaneous abscess, furuncle, and carbuncle of buttock
This range includes codes for various types of abscesses located on the buttock, including cutaneous abscess, furuncle, and carbuncle.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| L02.311 | Cutaneous abscess of right buttock | Use for simple cutaneous abscesses on the right buttock without deeper tissue involvement. |
|
| L02.312 | Furuncle of right buttock | Use for boils originating from hair follicle infections on the right buttock. |
|
| L02.313 | Carbuncle of right buttock | Use for clusters of interconnected boils on the right buttock. |
|
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 right buttock abscess
Essential facts and insights about Right Buttock Abscess
Primary ICD-10-CM Codes for right buttock abscess
Decision Criteria
clinical Criteria
- Presence of a fluctuant mass on the right buttock
documentation Criteria
- Ultrasound confirmation of subcutaneous collection
Applicable To
- Simple cutaneous abscess confined to right buttock subcutaneous tissue
Excludes
- Pilonidal cyst (K60.3-)
Clinical Validation Requirements
- Fluctuant mass, erythema, tenderness
- Ultrasound confirming subcutaneous pus collection
Code-Specific Risks
- Incorrectly coding as pilonidal abscess
- Missing laterality in documentation
Coding Notes
- Ensure laterality is documented as 'right buttock'.
L02.312 - Furuncle of right buttock
Use for boils originating from hair follicle infections on the right buttock.
Applicable To
- Boil with localized cellulitis
Excludes
- Carbuncle (L02.313)
Clinical Validation Requirements
- Necrotic core, surrounding erythema
- Culture confirming MSSA or other organism
Coding Notes
Document the presence of a necrotic core and surrounding cellulitis.
L02.313 - Carbuncle of right buttock
Use for clusters of interconnected boils on the right buttock.
Applicable To
- Cluster of interconnected furuncles
Excludes
- Single furuncle (L02.312)
Clinical Validation Requirements
- Multiple draining lesions, induration
- MRI showing subcutaneous interconnection
Coding Notes
Ensure documentation specifies multiple interconnected lesions.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
MRSA infection
B95.62Differential 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 Right Buttock Abscess to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L02.311.
Impact
Clinical: Ambiguity in treatment location, Regulatory: Non-compliance with ICD-10 coding standards, Financial: Potential claim denials or delays
Mitigation Strategy
Always specify 'right' or 'left' in documentation.
Impact
Reimbursement: Incorrect DRG assignment leading to potential underpayment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Ensure documentation specifies 'right buttock' and not 'natal cleft'.
Impact
Reimbursement: Potential denial of claims due to unsupported coding., Compliance: Violation of coding standards requiring evidence-based documentation., Data Quality: Misleading data on infection rates and treatment outcomes.
Mitigation Strategy
Only code MRSA when culture or PCR results confirm its presence.
Impact
Absence of laterality can lead to incorrect coding and billing.
Mitigation Strategy
Implement mandatory fields in EHR for laterality.
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 Right Buttock Abscess, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Buttock Abscess
Use these documentation templates to ensure complete and accurate documentation for Right Buttock Abscess. These templates include all required elements for proper coding and billing.
Emergency Department presentation of right buttock abscess
Specialty: Emergency MedicineRequired Elements
- Location and size of abscess
- Presence of fluctuation and erythema
- Imaging results
- Culture results
- Treatment details
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Right Buttock Abscess? Ask your questions below.