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

ICD-10 L03.012

Billable / Specific

Cellulitis of left finger

L03
Block
0
Synonyms
261
LCDs
9
Payer Policies
3
Linked CPTs

About ICD-10-CM L03.012

ICD-10-CM code L03.012 represents Cellulitis of left finger. This is a billable/specific code in the Skin and Subcutaneous Tissue chapter (block L03). The 2026 edition of ICD-10-CM L03.012 became effective on October 1, 2025.

Medicare LCD Coverage for L03.012

Local Coverage Determinations (LCDs) from CMS MACs that list L03.012 as a covered diagnosis.

261 LCDs

Showing top 10 of 261 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Surgical Treatment of Nails
Article ID: 57666, Effective: 2026-01-01 00:00:00, 392 covered, 1 non-covered
CPT 11750 →
CMS LCD: Billing and Coding: Surgical Treatment of Nails
Article ID: 57666, Effective: 2026-01-01 00:00:00, 392 covered, 1 non-covered
CPT 11765 →
CMS LCD: Billing and Coding: Surgical Treatment of Nails
Article ID: 57666, Effective: 2026-01-01 00:00:00, 392 covered, 1 non-covered
CPT 11730 →
CMS LCD: Billing and Coding: Surgical Treatment of Nails
Article ID: 57666, Effective: 2026-01-01 00:00:00, 392 covered, 1 non-covered
CPT 11732 →
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 →
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 98966 →
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 G0329 →
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 97022 →
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 97112 →
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 97034 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing L03.012.

9 policies

5 Medicare

Billing and Coding: Surgical Treatment of Nails
Policy ID: ART-52998
Billing and Coding: Home Health Physical Therapy
Policy ID: ART-53058
Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: Wound Care
Policy ID: ART-55909
Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures
Policy ID: ART-56766

CPT Codes Commonly Billed with L03.012

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

3 linkages
  • 11732 CMS LCD: Billing and Coding: Surgical Treatment of Nails CMS LCD
  • 11765 CMS LCD: Billing and Coding: Surgical Treatment of Nails CMS LCD
  • 11750 CMS LCD: Billing and Coding: Surgical Treatment of Nails CMS LCD

Convert L03.012 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
L03.012 68100 10000
L03.012 68101 10000
L03.012 68102 10000

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

ICD-10 L03.012, Billing FAQ

Is ICD-10 code L03.012 billable? +

Yes, L03.012 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with L03.012? +

Procedures frequently paired with L03.012 include: 11732, 11765, 11750.

What ICD-9 codes does L03.012 map to? +

Per CMS GEMs, L03.012 maps to ICD-9 codes: 68100, 68101, 68102. 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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