Is L02.416 a billable ICD-10-CM code?

Yes. L02.416 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does L02.416 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).

L02.416

L02.416 — Cutaneous abscess of left lower limb

Billable / specific codeICD-10-CMleft

L02.416 is a billable, specific ICD-10-CM code for cutaneous abscess of left lower limb. It is valid for submission on a claim.

Excludes2 inherited from the categories above L02.416

Also inherited, and the opposite of Excludes1: these conditions are not part of L02.416, but a patient can have both, so you may code both.

Written on L02.4 — Cutaneous abscess, furuncle and carbuncle of limb

Cutaneous abscess, furuncle and carbuncle of groin (L02.214, L02.224, L02.234)
Cutaneous abscess, furuncle and carbuncle of hand (L02.5-)
Cutaneous abscess, furuncle and carbuncle of foot (L02.6-)

Written on L02 — Cutaneous abscess, furuncle and carbuncle

abscess of anus and rectal regions (K61.-)
abscess of female genital organs (external) (N76.4)
abscess of male genital organs (external) (N48.2, N49.-)

Risk adjustment

L02.416 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

L02.416 is named in 8 Medicare coverage policies — 8 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52996Billing and Coding: Routine Foot Care
A55909Billing and Coding: Wound Care
A56697Billing and Coding: Non-Invasive Vascular Studies
A56766Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures

Code history

L02.416 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share L02.41. If L02.416 is not quite right, the correct code is usually one of these.

Questions about L02.416

Is L02.416 a billable ICD-10-CM code?: Yes. L02.416 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does L02.416 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).