L02.235 — Carbuncle of perineum
L02.235 is a billable, specific ICD-10-CM code for carbuncle of perineum. It is valid for submission on a claim.
Risk adjustment
L02.235 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
L02.235 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56766Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures
- A57206Billing and Coding: Lumbar MRI
How L02.235 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to L02.235.
- Carbuncle›perineum
- Carbuncle›trunk›perineum
Related codes at this level
Codes that share L02.23. If L02.235 is not quite right, the correct code is usually one of these.
Questions about L02.235
- Is L02.235 a billable ICD-10-CM code?
- Yes. L02.235 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does L02.235 sit in the tabular list?
- Diseases of the skin and subcutaneous tissue (L00-L99), in the block Infections of the skin and subcutaneous tissue (L00-L08).