ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 L02.519

Billable / Specific CC

Cutaneous abscess of unspecified hand

L02
Block
0
Synonyms
0
LCDs
0
Payer Policies
0
Linked CPTs

About ICD-10-CM L02.519

ICD-10-CM code L02.519 represents Cutaneous abscess of unspecified hand. This is a billable/specific code in the Skin and Subcutaneous Tissue chapter (block L02). The 2026 edition of ICD-10-CM L02.519 became effective on October 1, 2025.

Coding Tips for L02.519

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

L02.519 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 unspecified hand. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for L02.519

Local Coverage Determinations (LCDs) from CMS MACs that list L02.519 as a covered diagnosis.

No Medicare LCDs reference L02.519 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing L02.519.

No commercial payer policies reference L02.519 on file

Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but L02.519 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.

CPT Codes Commonly Billed with L02.519

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for L02.519

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert L02.519 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
L02.519 68100 10000
L02.519 6824 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 L02.519, Billing FAQ

Is ICD-10 code L02.519 billable? +

Yes, L02.519 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Is L02.519 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 ICD-9 codes does L02.519 map to? +

Per CMS GEMs, L02.519 maps to ICD-9 codes: 68100, 6824. 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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