2025 ICD-10-CM code L03.316
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Infections of the skin and subcutaneous tissue - Cellulitis of trunk Diseases of the skin and subcutaneous tissue (L00-L99) Feed
Cellulitis of the umbilicus, an infection of the skin and subcutaneous tissue around the navel.
Modifiers may be applicable depending on the circumstances of the encounter and the services provided (e.g., laterality modifiers for specifying the affected side).
Medical necessity for coding L03.316 is established by the presence of clinical signs and symptoms consistent with a bacterial infection of the skin and subcutaneous tissue around the umbilicus.The severity of the infection and the patient's overall health status will determine the need for inpatient versus outpatient management and the type of antibiotic therapy required.
The clinical responsibility for this code includes diagnosing the infection, identifying the causative organism through culture and sensitivity testing (if necessary), prescribing appropriate antibiotic treatment, monitoring the patient's response to treatment, and providing wound care as needed.In severe cases, hospitalization may be required for intravenous antibiotics and close monitoring.
In simple words: Cellulitis of the umbilicus is a bacterial infection around your belly button.It causes redness, swelling, and pain in the area.Doctors usually treat it with antibiotics.
L03.316, Cellulitis of umbilicus, specifies a bacterial infection affecting the skin and subcutaneous tissue surrounding the navel (umbilicus).This condition is characterized by localized inflammation, redness, swelling, pain, and potentially warmth to the touch.The infection may be caused by various bacteria, and appropriate antibiotic therapy is typically indicated.Further investigation may be necessary to determine the causative organism and guide treatment.
Example 1: A 30-year-old presents with pain, redness, and swelling around their umbilicus.Physical examination reveals warmth and tenderness.A diagnosis of L03.316 is made, and intravenous antibiotics are administered in an inpatient setting due to the severity of the infection., A 65-year-old diabetic patient develops cellulitis around their umbilicus after a minor abrasion.The infection is treated with oral antibiotics on an outpatient basis with close monitoring for response and signs of worsening infection. , A newborn infant shows signs of umbilical infection with redness and purulent drainage.The diagnosis of L03.316 is made, and intravenous antibiotics are given to address the infection. Additional testing is performed to further identify the causative agent.
Complete medical history, physical examination noting location, size, and characteristics of the lesion, results of any cultures or sensitivity tests to identify causative organisms, details of treatment provided (e.g., type and dosage of antibiotics, duration of treatment), and response to treatment.Imaging (e.g., ultrasound) may be required in complex cases.
** This code should not be used for conditions originating in the perinatal period, infectious diseases, complications of pregnancy, childbirth and the puerperium, congenital malformations, endocrine, nutritional and metabolic diseases, lipomelanotic reticulosis, neoplasms, symptoms, signs and abnormal clinical and laboratory findings, systemic connective tissue disorders, or viral warts.
- Payment Status: Active
- Specialties:Infectious Disease, Dermatology, General Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Emergency Room - Hospital, Urgent Care Facility