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L03.019
ICD-10-CM
Finger Infection

Learn about Finger Infection (Digital Infection, Finger Cellulitis, Finger Abscess) diagnosis, including clinical documentation, medical coding, and healthcare best practices. Find information on symptoms, treatment, and ICD-10 codes related to F Finger Infection for accurate and efficient medical record keeping. This resource provides valuable insights for physicians, nurses, and other healthcare professionals seeking information on Finger Infection diagnosis and management.

Also known as

Digital Infection
Finger Cellulitis
Finger Abscess

Diagnosis Snapshot

Key Facts
  • Definition : Infection of the finger involving skin, soft tissues, and potentially bone.
  • Clinical Signs : Redness, swelling, pain, warmth, pus, limited range of motion, fever.
  • Common Settings : Trauma, nail biting, ingrown nail, diabetes, immunosuppression.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC L03.019 Coding
L03.0-L03.9

Cellulitis of finger and toe

Bacterial skin infection of finger or toe.

M71.0-M71.9

Other bursopathies

Inflammation of bursae, sometimes due to infection, in the finger.

M86.0-M86.9

Osteomyelitis

Bone infection which may occur in the finger.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the infection felon?

  • Yes

    Code as L03.0XXA Felon

  • No

    Is there purulent drainage/pus?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Bacterial infection of the finger.
Localized collection of pus within the finger.
Spreading bacterial infection of finger skin.

Documentation Best Practices

Documentation Checklist
  • Document infection site (e.g., distal, proximal, perionychial)
  • Describe wound characteristics (e.g., purulent, erythematous)
  • Note presence/absence of lymphangitis, fever
  • Record pain level, range of motion
  • Specify causative organism if known (culture results)

Coding and Audit Risks

Common Risks
  • Specificity Lack

    Coding finger infection lacks laterality (left/right) and specific site details (nail, joint, etc.), impacting reimbursement and data accuracy. Optimize for medical coding compliance.

  • Infection Type Risk

    Cellulitis vs. abscess requires distinct codes. CDI should clarify documentation for accurate infection coding and severity reflection for healthcare compliance.

  • Causative Agent Code

    Missing documentation of the causative organism (bacterial, fungal, etc.) leads to coding gaps. CDI queries can improve medical coding and risk adjustment accuracy.

Mitigation Tips

Best Practices
  • Prompt hand hygiene ICD-10 L03.0, I70.0. Document infection site, severity, and cause.
  • Early wound care, debridement, proper dressing. CPT 26010-26045. Monitor for lymphangitis.
  • Targeted antibiotic therapy based on culture. Document antibiotic, dose, route. SNOMED CT 428992009.
  • Elevate affected finger. Monitor for systemic signs like fever, chills. SNOMED 248427009.
  • Patient education on wound care, hygiene, follow-up. Improve CDI for accurate coding.

Clinical Decision Support

Checklist
  • Confirm localized signs/symptoms: pain, swelling, erythema, warmth to touch of affected finger.
  • Assess for systemic infection signs: fever, lymphangitis, leukocytosis. Document if present.
  • Evaluate for fluctuance indicating abscess. Consider imaging if diagnosis unclear.
  • Determine infection severity: mild, moderate, or severe. Guides management decisions.

Reimbursement and Quality Metrics

Impact Summary
  • Finger Infection (F) reimbursement hinges on accurate ICD-10 coding (e.g., L03.0) for optimal payment.
  • Coding quality directly impacts hospital reporting metrics for Finger Infection diagnoses like cellulitis or abscess.
  • Proper documentation of digital infection severity influences MS-DRG assignment and reimbursement levels.
  • Timely and accurate coding minimizes claim denials and improves revenue cycle for finger infection treatments.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Frequently Asked Questions

Common Questions and Answers

Q: What are the key differentiating factors in diagnosing a finger infection versus other hand conditions like tenosynovitis or a felon?

A: Differentiating a finger infection from conditions like tenosynovitis or a felon requires careful clinical evaluation. While all three involve finger pain and swelling, a finger infection (including digital infection, finger cellulitis, or finger abscess) often presents with erythema, warmth, and tenderness along the affected digit. Tenosynovitis, specifically, is characterized by tenderness along the flexor tendon sheath and pain with passive extension, often described as the four cardinal signs of Kanavel. A felon, on the other hand, is a subcutaneous abscess typically located in the pulp space of the fingertip. Distinguishing features may include throbbing pain, tense swelling, and potential fluctuance. Accurate diagnosis relies on a thorough history, physical exam, and sometimes, imaging studies like ultrasound or MRI. Consider implementing a standardized assessment protocol for hand infections to improve diagnostic accuracy. Explore how imaging techniques can aid in challenging cases.

Q: How can I effectively manage a severe finger infection in a patient with multiple comorbidities, such as diabetes or peripheral vascular disease?

A: Managing a severe finger infection in patients with comorbidities like diabetes or peripheral vascular disease necessitates a multidisciplinary approach. These patients are at increased risk for complications such as deep space infections, osteomyelitis, and impaired wound healing. Aggressive treatment is crucial, often starting with broad-spectrum intravenous antibiotics covering common pathogens like Staphylococcus aureus and Streptococcus species. Surgical intervention, including incision and drainage or debridement, may be necessary to remove necrotic tissue and control the infection source. Optimize glycemic control in diabetic patients and address any peripheral vascular issues to improve blood flow to the affected area. Close monitoring for signs of spreading infection, such as lymphangitis or systemic symptoms, is essential. Learn more about evidence-based guidelines for antibiotic therapy in complicated hand infections.

Quick Tips

Practical Coding Tips
  • Code F for Finger Infection, not unspecified infection
  • Document infection site, depth, and cause
  • Check for abscess (ICD-10 L03.0)
  • Consider cellulitis (L03.1) if diffuse
  • Rule out paronychia (L03.0) if nailfold

Documentation Templates

Patient presents with signs and symptoms consistent with a finger infection (digital infection, finger cellulitis, finger abscess).  Onset of symptoms began [Number] days ago and includes [Symptom 1], [Symptom 2], and [Symptom 3].  The affected finger is the [Right/Left] [Finger Name] finger.  Physical examination reveals [Erythema, Swelling, Warmth, Tenderness, Purulent Drainage, Fluctuance].  The patient's temperature is [Temperature].  [Range of motion limitation] is noted in the affected digit.  Differential diagnosis includes paronychia, felon, herpetic whitlow, and flexor tenosynovitis.  Based on the clinical presentation, a diagnosis of finger infection is made.  Treatment plan includes [Incision and Drainage, Oral Antibiotics, Intravenous Antibiotics, Wound Care, Pain Management].  Patient education provided regarding wound care, medication administration, and signs of worsening infection.  Follow-up appointment scheduled in [Number] days.  ICD-10 code [L03.0, L03.111, L03.112, L03.119, L03.211, L03.212, L03.219] is considered based on the specific location and type of infection.  Medical necessity for the prescribed treatment is documented.