L04.3
L04.3: Acute lymphadenitis of lower limb
Billable / specific codeICD-10-CM
L04.3 is a billable, specific ICD-10-CM code for acute lymphadenitis of lower limb. It is valid for submission on a claim.
Check L04.3 with the rest of the claim: free scrubberExcludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- acute lymphadenitis of groin (L04.1)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Acute lymphadenitis of hip
Excludes1 inherited from the categories above L04.3
A category’s note binds every code beneath it.
Other codes that can never be billed with L04.3
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
L04.3 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A56775Billing and Coding: Magnetic Resonance Angiography
Alphabetic index entries that lead here
- Lymphadenitis›acute›hip
- Lymphadenitis›acute›limb›lower
Code history
Unchanged in every release from FY2024 to FY2027.