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

ICD-10 L02.612

Billable / Specific CC

Cutaneous abscess of left foot

L02
Block
0
Synonyms
199
LCDs
13
Payer Policies
0
Linked CPTs

About ICD-10-CM L02.612

ICD-10-CM code L02.612 represents Cutaneous abscess of left foot. This is a billable/specific code in the Skin and Subcutaneous Tissue chapter (block L02). The 2026 edition of ICD-10-CM L02.612 became effective on October 1, 2025.

Coding Tips for L02.612

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

Inpatient DRG impact: CC

L02.612 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 left foot. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for L02.612

Local Coverage Determinations (LCDs) from CMS MACs that list L02.612 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 L02.612.

13 policies

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 L02.612

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

No procedure linkages on file for L02.612

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 L02.612 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
L02.612 68110 10000
L02.612 6827 10000

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

ICD-10 L02.612, Billing FAQ

Is ICD-10 code L02.612 billable? +

Yes, L02.612 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Is L02.612 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 L02.612 map to? +

Per CMS GEMs, L02.612 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 June 1, 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

Faster Approvals

Ready to Cut Your Enrollment Timeline in Half?

Join providers in all 50 states who handed off credentialing to a dedicated specialist. Create your free account in minutes and start enrolling the same day.

All 50 States Covered
No Long-Term Contracts
HIPAA HIPAA Compliant Platform
Dedicated Specialist Included