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ICD-10 Coding for Left Foot Cellulitis(L03.116)

Complete ICD-10-CM coding and documentation guide for Left Foot Cellulitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Cellulitis of the left footLeft plantar cellulitis

Related ICD-10 Code Ranges

Complete code families applicable to Left Foot Cellulitis

L03.1-L03.9Primary Range

Cellulitis and acute lymphangitis

This range includes codes for cellulitis affecting various parts of the body, including the lower limb.

Key Information: ICD-10 code for left foot cellulitis

Essential facts and insights about Left Foot Cellulitis

The ICD-10 code for left foot cellulitis is L03.116, covering cellulitis of the left lower limb.

Primary ICD-10-CM Code for left foot cellulitis

Cellulitis of left lower limb
Billable Code

Decision Criteria

clinical Criteria

  • Presence of unilateral left foot symptoms

documentation Criteria

  • Documentation specifies 'left foot' involvement

Applicable To

  • Cellulitis of left foot

Excludes

Clinical Validation Requirements

  • Unilateral left foot involvement
  • Redness, swelling, warmth, pain
  • WBC ≥10,000/uL

Code-Specific Risks

  • Using unspecified codes when laterality is known

Coding Notes

  • Ensure laterality is documented to avoid unspecified codes.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Infection following a procedure, initial encounter

T89.02
Use when cellulitis is due to an infected open wound.

Staphylococcus aureus as the cause of diseases classified elsewhere

B95.6
Use as a secondary code if MRSA is confirmed.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Cellulitis of left toe

L03.032
Use when cellulitis is localized to a specific toe.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Left Foot Cellulitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L03.116.

Impact

Clinical: Leads to incorrect diagnosis coding., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential for denied claims due to unspecified coding.

Mitigation Strategy

Implement checklist for documentation completeness.

Impact

Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.

Mitigation Strategy

Use L03.116 for confirmed left foot cellulitis cases.

Impact

Failure to document laterality can lead to audit findings.

Mitigation Strategy

Ensure all clinical notes specify 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 Left Foot Cellulitis, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Left Foot Cellulitis

Use these documentation templates to ensure complete and accurate documentation for Left Foot Cellulitis. These templates include all required elements for proper coding and billing.

Cellulitis with open wound

Specialty: Emergency Medicine

Required Elements

  • History of present illness
  • Physical examination findings
  • Laboratory results
  • Treatment plan

Example Documentation

Patient presents with left foot pain and redness after stepping on a nail. Exam shows erythema and purulent drainage. WBC 12,000/uL. Plan: IV antibiotics, wound care.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Left foot red and swollen.
Good Documentation Example
Erythema (6cm diameter) with demarcated borders on left plantar foot; + tenderness to palpation. Portal of entry: 1cm puncture wound with serosanguinous drainage.
Explanation
The good example provides specific details on the location, size, and symptoms, improving clinical clarity.

Need help with ICD-10 coding for Left Foot Cellulitis? Ask your questions below.

Ask about any ICD-10 CM code, or paste a medical note

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