ICD-10 L02.215
Billable / Specific CCCutaneous abscess of perineum
About ICD-10-CM L02.215
ICD-10-CM code L02.215 represents Cutaneous abscess of perineum. This is a billable/specific code in the Skin and Subcutaneous Tissue chapter (block L02). The 2026 edition of ICD-10-CM L02.215 became effective on October 1, 2025.
Coding Tips for L02.215
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
L02.215 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 perineum. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.
Medicare LCD Coverage for L02.215
Local Coverage Determinations (LCDs) from CMS MACs that list L02.215 as a covered diagnosis.
Showing top 10 of 167 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing L02.215.
5 Medicare
CPT Codes Commonly Billed with L02.215
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 L02.215 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 |
|---|---|---|
| L02.215 | 6822 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To L02.215
Other codes in section L00-L08 (Infections of the skin and subcutaneous tissue).
ICD-10 L02.215, Billing FAQ
Is ICD-10 code L02.215 billable? +
Yes, L02.215 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
Is L02.215 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 L02.215? +
Procedures frequently paired with L02.215 include: 10081, 10180, 10080, 10160.
What ICD-9 codes does L02.215 map to? +
Per CMS GEMs, L02.215 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 May 31, 2026.
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