ICD-10 Coding for Furuncle(L02.92, L02.0)
Complete ICD-10-CM coding and documentation guide for Furuncle. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Furuncle
L02Primary Range
Cutaneous abscess, furuncle and carbuncle
This range includes all codes related to furuncles, specifying different anatomical locations.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| L02.92 | Furuncle, unspecified | Use when the specific site of the furuncle is not documented. |
|
| L02.0 | Furuncle of face | Use when the furuncle is specifically located on the face. |
|
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 furuncle
Essential facts and insights about Furuncle
Primary ICD-10-CM Codes for furuncle
Decision Criteria
documentation Criteria
- Document the exact location and size of the furuncle.
Applicable To
- Boil
- Skin abscess
Excludes
- K61.0 (Anal abscess)
Clinical Validation Requirements
- Presence of a painful, pus-filled bump under the skin
- Culture results confirming bacterial infection
Code-Specific Risks
- Risk of under-coding if specific site is documented but not coded.
Coding Notes
- Ensure to document the specific site if available to avoid using unspecified codes.
L02.0 - Furuncle of face
Use when the furuncle is specifically located on the face.
Applicable To
- Boil on face
Excludes
- L02.92 (Furuncle, unspecified)
Clinical Validation Requirements
- Presence of a furuncle on the facial region
Coding Notes
Facial furuncles require specific documentation of location.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Methicillin-resistant Staphylococcus aureus infection as the cause of diseases classified elsewhere
B95.62Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Furuncle to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L02.92.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims due to incomplete documentation.
Mitigation Strategy
Always send cultures for suspected bacterial infections., Document culture results in the patient's record.
Impact
Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases the accuracy of clinical data.
Mitigation Strategy
Always use the most specific code available based on documentation.
Impact
High risk of audit if unspecified codes are used when specific site is documented.
Mitigation Strategy
Train staff to always document and code the specific site of furuncles.
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 Furuncle, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Furuncle
Use these documentation templates to ensure complete and accurate documentation for Furuncle. These templates include all required elements for proper coding and billing.
Post-incision and drainage of furuncle
Specialty: DermatologyRequired Elements
- Procedure details
- Findings
- Specimens sent for culture
- Follow-up plan
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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