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2025 ICD-10-CM code L02.41

Cutaneous abscess of a limb.

Appropriate coding requires specifying the location of the abscess on the limb, and if possible the infecting organism.Additional codes may be required to fully describe the clinical picture.

Modifiers may be applied to indicate the location or the type of service performed. For example, a laterality modifier (RT, LT) could specify the affected side.Additional modifiers may be applicable depending on the circumstances.

Medical necessity for treatment of a cutaneous abscess is established by the presence of infection, pain, and potential for complications such as cellulitis or sepsis.The size and location of the abscess can influence treatment decisions.

Diagnosis and treatment of the abscess by a physician or other qualified healthcare professional. This may involve incision and drainage of the abscess, wound care, and antibiotic prescription if necessary.

IMPORTANT:Additional codes may be necessary to specify the location (right/left upper/lower limb, axilla) and identify the infecting organism (using codes from B95-B97).

In simple words: A boil or abscess is a painful, pus-filled lump under the skin of an arm or leg.

This code represents a localized collection of pus beneath the skin on an arm or leg.It is a skin infection characterized by swelling, redness, pain, and the presence of pus. The location of the abscess on the limb (e.g., arm, leg, specific area) needs to be specified using additional codes where available.

Example 1: A 35-year-old male presents with a painful, swollen area on his right upper arm. Physical examination reveals a fluctuant mass consistent with a cutaneous abscess. Incision and drainage are performed, and cultures are sent. The patient is prescribed oral antibiotics., A 60-year-old female develops a large abscess on her left lower leg following a minor injury.She presents to the emergency room with severe pain and fever. The abscess is drained, and intravenous antibiotics are administered., A 10-year-old child presents with a small abscess on his right forearm.The abscess is small and superficial, and resolves with topical antibiotic ointment. No incision and drainage is required.

Detailed history and physical examination documenting the location, size, and characteristics of the abscess.Results of any cultures performed to identify the causative organism.Documentation of the procedure performed (e.g., incision and drainage), wound care, and any antibiotics prescribed.Note any relevant comorbidities and risk factors.

** This code is used for cutaneous abscesses of the limbs, and excludes abscesses of other locations.Always document the exact location of the abscess for accurate coding.Consider using additional codes to specify other conditions present.

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