2025 ICD-10-CM code L03.031
Cellulitis of the right toe.
Medical necessity is established by the presence of signs and symptoms of cellulitis, such as redness, swelling, warmth, and pain. Documentation should support the diagnosis and the chosen treatment plan.
Diagnosis and treatment of cellulitis, including prescribing appropriate antibiotics and managing any complications.
- Diseases of the skin and subcutaneous tissue (L00-L99)
- Infections of the skin and subcutaneous tissue (L00-L08)
In simple words: Bacterial infection of the skin and tissues beneath the skin of the right toe.
Cellulitis of the right toe.
Example 1: A patient presents with redness, swelling, and pain in their right toe. The physician diagnoses cellulitis and prescribes antibiotics., A patient with diabetes develops a small cut on their right toe, which becomes infected and progresses to cellulitis. The physician performs debridement and prescribes antibiotics., A patient with peripheral vascular disease experiences a worsening of their right toe cellulitis despite antibiotic treatment. The physician refers the patient to a vascular surgeon for further evaluation and management.
Physical exam findings, including location and extent of infection; patient's medical history, including any predisposing conditions; results of any laboratory tests or imaging studies; treatment plan, including antibiotic selection and duration.