ICD-10 Coding for Abscess of Buttock(L02.31)
Complete ICD-10-CM coding and documentation guide for Abscess of Buttock. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Abscess of Buttock
L02.31-L02.33Primary Range
Cutaneous abscess, furuncle, and carbuncle of buttock
This range includes codes for abscesses and related conditions specifically located on the buttock.
Abscess of anal and rectal regions
This range is relevant for differentiating perianal abscesses from buttock abscesses.
Pilonidal cyst with abscess
This code is used for abscesses near the natal cleft, differentiating from buttock abscesses.
Key Information: ICD-10 code for abscess of buttock
Essential facts and insights about Abscess of Buttock
Primary ICD-10-CM Code for abscess of buttock
Decision Criteria
clinical Criteria
- Presence of a fluctuant, erythematous mass on the buttock
documentation Criteria
- Documentation must specify 'buttock' and not 'perianal'
Applicable To
- Simple cutaneous abscess of buttock
Clinical Validation Requirements
- Physical exam showing erythema, swelling, and purulent drainage on the buttock
- Ultrasound confirming fluid collection
Code-Specific Risks
- Confusing with perianal abscess
- Not specifying laterality
Coding Notes
- Ensure documentation specifies the location as buttock and not perianal.
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 Abscess of Buttock to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L02.31.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to insufficient documentation.
Mitigation Strategy
Include depth and complexity in documentation.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use K61.2 for perianal abscesses.
Impact
Using L02.31 for perianal abscesses.
Mitigation Strategy
Educate providers on correct code usage.
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 Abscess of Buttock, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Abscess of Buttock
Use these documentation templates to ensure complete and accurate documentation for Abscess of Buttock. These templates include all required elements for proper coding and billing.
Simple I&D of buttock abscess
Specialty: General SurgeryRequired Elements
- Location of abscess
- Size and characteristics
- Procedure details
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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