PAYER READY CREDENTIALING & COMPLIANCE
ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 L02.611

Billable / Specific CC

Cutaneous abscess of right foot

L02
Block
0
Synonyms
199
LCDs
14
Payer Policies
2
Linked CPTs

About ICD-10-CM L02.611

ICD-10-CM code L02.611 represents Cutaneous abscess of right foot. This is a billable/specific code in the Skin and Subcutaneous Tissue chapter (block L02). The 2026 edition of ICD-10-CM L02.611 became effective on October 1, 2025.

Coding Tips for L02.611

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

Inpatient DRG impact: CC

L02.611 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 right foot. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for L02.611

Local Coverage Determinations (LCDs) from CMS MACs that list L02.611 as a covered diagnosis.

199 LCDs

Showing top 10 of 199 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT 11719 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT 11721 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT 11057 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT 11720 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT G0127 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT 11055 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT 11056 →
CMS LCD: Billing and Coding: Nonvascular Extremity Ultrasound
Article ID: 56787, Effective: 2023-10-01 00:00:00, 1282 covered, 0 non-covered
CPT 76881 →
CMS LCD: Billing and Coding: Nonvascular Extremity Ultrasound
Article ID: 56787, Effective: 2023-10-01 00:00:00, 1282 covered, 0 non-covered
CPT 76882 →
CMS LCD: Billing and Coding: Physical Therapy - Home Health
Article ID: 57311, Effective: 2025-10-01 00:00:00, 14836 covered, 0 non-covered
CPT 97755 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing L02.611.

14 policies

1 Aetna

Routine Foot Care - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0046

5 Medicare

Billing and Coding: Routine Foot Care
Policy ID: ART-52996
Billing and Coding: Wound Care
Policy ID: ART-55909
Billing and Coding: Foot Care
Policy ID: ART-56232
Billing and Coding: Debridement of Mycotic Nails
Policy ID: ART-56640
Billing and Coding: Routine Foot Care
Policy ID: ART-56680

CPT Codes Commonly Billed with L02.611

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

2 linkages
  • 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

Convert L02.611 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
L02.611 68110 10000
L02.611 6827 10000

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

ICD-10 L02.611, Billing FAQ

Is ICD-10 code L02.611 billable? +

Yes, L02.611 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Is L02.611 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 L02.611? +

Procedures frequently paired with L02.611 include: 10060, 10061.

What ICD-9 codes does L02.611 map to? +

Per CMS GEMs, L02.611 maps to ICD-9 codes: 68110, 6827. Useful for legacy data review and historical claim analysis.

Get the full PayerReady toolkit

Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.

Start free →

Run this code through our claim audit tool

Check NCCI bundling, MUE limits, and modifier logic before submission.

Try the auditor →

Did this page help?

Quick signal so we know what to improve.

Thanks!

If you want a code reference page that doesn't exist yet, email coding@payerready.com.

Sorry to hear that.

Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.

Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 16, 2026.

Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team

Every month un-credentialed is revenue you never bill

Sign up free, add your first provider, and watch the pipeline start moving this week.

Ask CredBrain

Answers from your credentialing team's verified knowledge base

Hi, I'm CredBrain. I answer from your credentialing team's verified knowledge base: payer join paths, state rules, timelines, associate billing, and enrollment workflows. If I don't have a verified answer, I'll say so and point you to your team. What would you like to know?

Try asking