ICD-10 Coding for Erythema Nodosum with Gluteal Involvement(L52, L02.31)
Complete ICD-10-CM coding and documentation guide for Erythema Nodosum with Gluteal Involvement. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Erythema Nodosum with Gluteal Involvement
L00-L99Primary Range
Diseases of the skin and subcutaneous tissue
This range includes codes for skin conditions such as erythema nodosum and cutaneous abscesses.
Certain infectious and parasitic diseases
This range includes codes for infections that may cause or complicate erythema nodosum, such as Nocardiosis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| L52 | Erythema nodosum | Use when erythema nodosum is confirmed by clinical and histological findings. |
|
| L02.31 | Cutaneous abscess of buttock | Use when a cutaneous abscess is confirmed in the buttock region. |
|
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: How to code erythema nodosum with abscess
Essential facts and insights about Erythema Nodosum with Gluteal Involvement
Primary ICD-10-CM Codes for absceso erythema nodosum gluteos
Decision Criteria
clinical Criteria
- Presence of tender, non-fluctuant nodules
documentation Criteria
- Biopsy confirms septal panniculitis
Applicable To
- Tender nodules on the skin
Excludes
- Tuberculous erythema nodosum (A18.4)
Clinical Validation Requirements
- Biopsy showing septal panniculitis
- Elevated ESR/CRP
- Negative bacterial cultures
Code-Specific Risks
- Confusing erythema nodosum with abscess
Coding Notes
- Ensure documentation clearly differentiates between erythema nodosum and abscess.
L02.31 - Cutaneous abscess of buttock
Use when a cutaneous abscess is confirmed in the buttock region.
Applicable To
- Fluctuant purulent lesions
Excludes
- Cellulitis of buttock (L03.316)
Clinical Validation Requirements
- Ultrasound showing fluid collection
- Positive culture for bacteria
Coding Notes
Document the presence of purulence and fluctuation to support this code.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Erythema Nodosum with Gluteal Involvement to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L52.
Impact
Clinical: Misrepresents the patient's condition., Regulatory: Potential for audit discrepancies., Financial: May lead to incorrect billing.
Mitigation Strategy
Verify clinical findings before coding, Consult biopsy and culture results
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Misclassification can result in audit issues., Data Quality: Impacts accuracy of clinical data.
Mitigation Strategy
Ensure documentation specifies whether lesions are nodular or purulent.
Impact
Confusing erythema nodosum with abscess can lead to audit issues.
Mitigation Strategy
Ensure thorough documentation and use of biopsy results.
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 Erythema Nodosum with Gluteal Involvement, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Erythema Nodosum with Gluteal Involvement
Use these documentation templates to ensure complete and accurate documentation for Erythema Nodosum with Gluteal Involvement. These templates include all required elements for proper coding and billing.
Erythema nodosum with concurrent abscess
Specialty: DermatologyRequired Elements
- History of recent infections
- Physical exam findings
- Biopsy and culture results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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