ICD Code L03.311

ICD code L03.311 is cellulitis of the abdominal wall, which refers to a bacterial skin infection affecting the abdominal wall area.

1. Presence of localized erythema, warmth, and swelling of the abdominal wall

2. Tenderness or pain upon palpation of the affected area

3. Rapidly spreading area of redness on the abdominal wall

4. Possible presence of fever or chills

5. Absence of abscess or purulent drainage (if present, consider alternative codes)

6. No evidence of deeper soft tissue involvement such as necrotizing fasciitis

7. Clinical suspicion or confirmation of bacterial infection (commonly Streptococcus or Staphylococcus species)

8. No involvement of internal abdominal organs

Relevant CPT codes that may be used to treat ICD code L03.311 include:

- 99201–99215 (Evaluation and Management services)

- 10060 (Incision and drainage of abscess; simple or single)

- 10061 (Incision and drainage of abscess; complicated or multiple)

- 10180 (Incision and drainage, complex, postoperative wound infection)

- 11042–11047 (Debridement codes, depending on depth and size)

- 96372 (Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular)

- 96365–96366 (Intravenous infusion, for therapy/prophylaxis, initial and each additional hour)

- 36415 (Collection of venous blood by venipuncture, if labs are needed)

CPT code selection should be based on the specific services rendered for ICD code L03.311.

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