ICD-10 Coding for Infection of Right Foot(L03.115, E11.621)
Complete ICD-10-CM coding and documentation guide for Infection of Right Foot. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Infection of Right Foot
L03-L04Primary Range
Cellulitis and acute lymphangitis
This range includes codes for cellulitis of the right lower limb, which encompasses the foot.
Non-pressure chronic ulcer of lower limb, not elsewhere classified
This range includes codes for chronic ulcers of the foot, which may be complicated by infection.
Diabetes mellitus
These codes are used when the foot infection is associated with diabetic ulcers.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| L03.115 | Cellulitis of right lower limb | Use for isolated cellulitis of the right foot without ulceration. |
|
| E11.621 | Type 2 diabetes mellitus with foot ulcer | Use when a diabetic patient has a foot ulcer. |
|
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 infection of right foot
Essential facts and insights about Infection of Right Foot
Primary ICD-10-CM Codes for infection of right foot
Decision Criteria
clinical Criteria
- Presence of erythema and purulent drainage
documentation Criteria
- Explicit mention of 'right foot'
Applicable To
- Cellulitis of right foot
Excludes
- Diabetic foot ulcer with infection
Clinical Validation Requirements
- Erythema extending >2 cm beyond wound edge
- Purulent drainage
- WBC >12,000
Code-Specific Risks
- Incorrect laterality can lead to claim denials.
Coding Notes
- Ensure laterality is documented as 'right foot'.
E11.621 - Type 2 diabetes mellitus with foot ulcer
Use when a diabetic patient has a foot ulcer.
Applicable To
- Diabetic foot ulcer with infection
Excludes
- Non-diabetic foot ulcer
Clinical Validation Requirements
- Diagnosis of diabetes
- Presence of foot ulcer
Coding Notes
Sequence diabetes code first, followed by ulcer and infection codes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Infection of Right Foot to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L03.115.
Impact
Clinical: Leads to inaccurate clinical records., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Always specify laterality in documentation.
Impact
Reimbursement: Claims may be denied if laterality is incorrect., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data recording.
Mitigation Strategy
Ensure documentation specifies 'right foot' and use corresponding codes.
Impact
Failure to document laterality can lead to audit findings.
Mitigation Strategy
Implement mandatory laterality checks in documentation.
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 Infection of Right Foot, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Infection of Right Foot
Use these documentation templates to ensure complete and accurate documentation for Infection of Right Foot. These templates include all required elements for proper coding and billing.
Diabetic patient with infected right foot ulcer
Specialty: PodiatryRequired Elements
- Ulcer location and size
- Infection signs
- Diabetes status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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