ICD-10 Coding for Right Thigh Abscess(L02.415)
Complete ICD-10-CM coding and documentation guide for Right Thigh Abscess. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Thigh Abscess
L02.41-L02.42Primary Range
Cutaneous abscess of limb
This range includes codes for abscesses specific to limbs, including the right thigh.
Bacterial and viral infectious agents
These codes are used to identify the organism causing the infection, such as MRSA.
Infection following a procedure
Used when the abscess is a result of a postprocedural infection.
Key Information: ICD-10 code for right thigh abscess
Essential facts and insights about Right Thigh Abscess
Primary ICD-10-CM Code for right thigh abscess
Decision Criteria
clinical Criteria
- Presence of a fluctuant mass in the right thigh
documentation Criteria
- Detailed procedure note including incision and drainage specifics
Applicable To
- Right thigh abscess
Excludes
- Cellulitis of right lower limb (L03.115)
Clinical Validation Requirements
- Clinical examination showing fluctuant mass
- Imaging confirming fluid collection
- Laboratory tests indicating infection
Code-Specific Risks
- Incorrect laterality documentation
- Omission of complexity details in procedure
Coding Notes
- Ensure documentation specifies laterality and complexity of the procedure.
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
B95.6Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Cellulitis of right lower limb
L03.115Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right Thigh Abscess to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L02.415.
Impact
Clinical: Inadequate treatment documentation., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Always document if packing or drains were used.
Impact
Reimbursement: May lead to incorrect coding and reduced payment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data recording.
Mitigation Strategy
Always specify 'right' in the documentation.
Impact
Failure to document laterality can lead to incorrect coding.
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 Right Thigh Abscess, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Thigh Abscess
Use these documentation templates to ensure complete and accurate documentation for Right Thigh Abscess. These templates include all required elements for proper coding and billing.
Simple I&D Procedure
Specialty: Emergency MedicineRequired Elements
- Location and size of abscess
- Procedure details
- Post-procedure care
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Right Thigh Abscess? Ask your questions below.