ICD-10 L02.213
Billable / Specific CCCutaneous abscess of chest wall
About ICD-10-CM L02.213
ICD-10-CM code L02.213 represents Cutaneous abscess of chest wall. This is a billable/specific code in the Skin and Subcutaneous Tissue chapter (block L02). The 2026 edition of ICD-10-CM L02.213 became effective on October 1, 2025.
Coding Tips for L02.213
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
L02.213 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.
Inpatient DRG Impact, CC
codes Cutaneous abscess of chest wall. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.
Medicare LCD Coverage for L02.213
Local Coverage Determinations (LCDs) from CMS MACs that list L02.213 as a covered diagnosis.
Showing top 10 of 153 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing L02.213.
5 Medicare
CPT Codes Commonly Billed with L02.213
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 10081 CMS LCD: Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures CMS LCD
- 10180 CMS LCD: Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures CMS LCD
- 10080 CMS LCD: Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures CMS LCD
- 10160 CMS LCD: Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures CMS LCD
Convert L02.213 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| L02.213 | 6822 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To L02.213
Other codes in section L00-L08 (Infections of the skin and subcutaneous tissue).
ICD-10 L02.213, Billing FAQ
Is ICD-10 code L02.213 billable? +
Yes, L02.213 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
Is L02.213 a CC or MCC for inpatient DRG? +
Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.
What CPT codes are commonly billed with L02.213? +
Procedures frequently paired with L02.213 include: 10081, 10180, 10080, 10160.
What ICD-9 codes does L02.213 map to? +
Per CMS GEMs, L02.213 maps to ICD-9 codes: 6822. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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