ICD-10 L03.213
Billable / Specific CCPeriorbital cellulitis
About ICD-10-CM L03.213
ICD-10-CM code L03.213 represents Periorbital cellulitis. This is a billable/specific code in the Skin and Subcutaneous Tissue chapter (block L03). The 2026 edition of ICD-10-CM L03.213 became effective on October 1, 2025.
Coding Tips for L03.213
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
L03.213 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 L03.213. Per CMS ICD-10-CM Tabular 2026.
- Preseptal cellulitis
Inpatient DRG Impact, CC
codes Periorbital cellulitis. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.
Medicare LCD Coverage for L03.213
Local Coverage Determinations (LCDs) from CMS MACs that list L03.213 as a covered diagnosis.
Showing top 10 of 23 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing L03.213.
2 Cigna
4 Medicare
CPT Codes Commonly Billed with L03.213
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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 L03.213 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 |
|---|---|---|
| L03.213 | 6820 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To L03.213
Other codes in section L00-L08 (Infections of the skin and subcutaneous tissue).
ICD-10 L03.213, Billing FAQ
Is ICD-10 code L03.213 billable? +
Yes, L03.213 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 L03.213? +
ICD-10 L03.213 includes: Preseptal cellulitis.
Is L03.213 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 L03.213 map to? +
Per CMS GEMs, L03.213 maps to ICD-9 codes: 6820. 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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