L03.213

L03.213: Periorbital cellulitis

Billable / specific codeICD-10-CM

L03.213 is a billable, specific ICD-10-CM code for periorbital cellulitis. It is valid for submission on a claim.

Check L03.213 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Preseptal cellulitis

Excludes2 inherited from the categories above L03.213

Not part of this code, but both may be coded when both are present.

Written on L03: Cellulitis and acute lymphangitis

cellulitis of anal and rectal region (K61.-)
cellulitis of external auditory canal (H60.1)
cellulitis of eyelid (H00.0)
cellulitis of female external genital organs (N76.4)
cellulitis of lacrimal apparatus (H04.3)
cellulitis of male external genital organs (N48.2, N49.-)
cellulitis of mouth (K12.2)
cellulitis of nose (J34.0)
eosinophilic cellulitis [Wells] (L98.3)
febrile neutrophilic dermatosis [Sweet] (L98.2)
lymphangitis (chronic) (subacute) (I89.1)

Other codes that can never be billed with L03.213

Their own Excludes1 notes name this code, so the conflict is not listed above.

I89.1Lymphangitis

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

L03.213 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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