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2025 ICD-10-CM code L03.314

Cellulitis of the groin; a bacterial skin infection affecting the groin area.

Appropriate coding requires accurate localization of the cellulitis to the groin.Use additional codes to identify the infecting organism, if known.Consider additional codes for complications (e.g., abscess).

Modifiers may be used to specify the service location or other relevant circumstances (e.g., -25 for a significant and separately identifiable evaluation and management service).

Medical necessity is established based on the presence of clinical symptoms and signs consistent with cellulitis.Treatment is necessary to prevent the spread of infection and possible complications such as sepsis or abscess formation.Documentation must clearly support the diagnosis and the need for treatment.

Diagnosis and treatment of the infection, including prescribing antibiotics, wound care, and monitoring for complications.Referral to a specialist may be necessary in severe cases.

IMPORTANT:This code should not be used if the cellulitis affects other areas such as the anal and rectal regions (K61.-), breast (N61.0), female external genitalia (N76.4), male external genitalia (N48.2, N49.-), or umbilicus (L03.316).Additional codes may be necessary to specify the causative agent (B95-B97).

In simple words: This code describes a bacterial infection affecting the skin and tissue under the skin in the groin area. The infection causes redness, swelling, pain, and possibly warmth in the groin.It's important to see a doctor for treatment to prevent it from spreading.

L03.314, Cellulitis of the groin, is an ICD-10-CM code that classifies a bacterial infection of the subcutaneous tissue in the groin region.This infection is characterized by inflammation, redness, swelling, pain, and potentially warmth in the affected area. The infection may spread to deeper tissues, leading to more severe complications if left untreated.This code should be used when the cellulitis is specifically localized to the groin.Use additional code (B95-B97) to identify the infectious agent.

Example 1: A 45-year-old male presents with painful swelling and redness in his groin.Physical examination reveals warm, tender skin with erythema and induration.Diagnosis of cellulitis of the groin is made, and treatment with oral antibiotics is initiated., A 28-year-old female with a history of eczema presents with worsening groin cellulitis after a recent shaving injury.The physician performs a thorough examination, cultures the affected area, and prescribes a course of antibiotics along with topical corticosteroids for the eczema., A 70-year-old male with diabetes and peripheral neuropathy develops cellulitis of the groin.Due to his comorbidities, hospitalization is required for intravenous antibiotic therapy and close monitoring for potential complications such as sepsis.

Complete history and physical examination, including details on the onset, duration, location, and characteristics of the symptoms.Laboratory findings such as complete blood count (CBC) and blood cultures may be necessary.Imaging studies (e.g., ultrasound) may be used to assess the extent of the infection.

** Always refer to the most current ICD-10-CM coding guidelines for proper coding practices.This information is for guidance only and should not be considered a substitute for professional medical coding advice.

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