ICD-10 L02.31
Billable / Specific CCCutaneous abscess of buttock
About ICD-10-CM L02.31
ICD-10-CM code L02.31 represents Cutaneous abscess of buttock. This is a billable/specific code in the Skin and Subcutaneous Tissue chapter (block L02). The 2026 edition of ICD-10-CM L02.31 became effective on October 1, 2025.
Coding Tips for L02.31
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
L02.31 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.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under L02.31. Per CMS ICD-10-CM Tabular 2026.
- Cutaneous abscess of gluteal region
Inpatient DRG Impact, CC
codes Cutaneous abscess of buttock. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.
Medicare LCD Coverage for L02.31
Local Coverage Determinations (LCDs) from CMS MACs that list L02.31 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 L02.31.
5 Medicare
CPT Codes Commonly Billed with L02.31
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 10060 I&D abscess — skin abscess by site, pilonidal abscess, sebaceous cyst infected, pyogenic granuloma General Surgery
- 10061 I&D abscess complicated — deep or multiple abscesses General Surgery
- 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 L02.31 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 |
|---|---|---|
| L02.31 | 6825 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To L02.31
Other codes in section L00-L08 (Infections of the skin and subcutaneous tissue).
ICD-10 L02.31, Billing FAQ
Is ICD-10 code L02.31 billable? +
Yes, L02.31 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to L02.31? +
ICD-10 L02.31 includes: Cutaneous abscess of gluteal region.
Is L02.31 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 L02.31? +
Procedures frequently paired with L02.31 include: 10060, 10061, 10081, 10180, 10080.
What ICD-9 codes does L02.31 map to? +
Per CMS GEMs, L02.31 maps to ICD-9 codes: 6825. 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 July 16, 2026.
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