L03.213 — Periorbital cellulitis
L03.213 is a billable, specific ICD-10-CM code for periorbital cellulitis. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Preseptal cellulitis
Risk adjustment
L03.213 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
L03.213 is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56612Billing and Coding: CT of the Head
- A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
- A56766Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures
- A57029Billing and Coding: Ultrasound, Soft Tissues of Head and Neck
How L03.213 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 L03.213.
- Cellulitis›periorbital
- Cellulitis›preseptal
Related codes at this level
Codes that share L03.21. If L03.213 is not quite right, the correct code is usually one of these.
Questions about L03.213
- Is L03.213 a billable ICD-10-CM code?
- Yes. L03.213 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does L03.213 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).