Find comprehensive information on Left Buttock Abscess diagnosis, including clinical documentation, ICD-10 codes (L02.62, L02.61, L02.60), medical coding guidelines, healthcare best practices, and treatment options. Learn about symptoms, causes, and differential diagnosis for Left Buttock Abscess to improve patient care and ensure accurate medical recordkeeping. This resource offers valuable insights for physicians, nurses, medical coders, and other healthcare professionals.
Also known as
Cutaneous abscess, furuncle, and carbuncle
Covers skin infections like abscesses, boils, and carbuncles.
Infections of the skin and subcutaneous tissue
Encompasses various skin and tissue infections, including abscesses.
Inflammatory disorders of soft tissue
Includes inflammation not elsewhere classified like buttock abscess.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the left buttock abscess related to a pilonidal cyst?
Yes
Code L05.01: Pilonidal cyst with abscess, buttock
No
Is the abscess cutaneous?
When to use each related code
Description |
---|
Left buttock abscess |
Right buttock abscess |
Pelvic abscess |
Coding left buttock abscess without specifying laterality can lead to claim rejection or downcoding. Accurate documentation is crucial for proper reimbursement.
Lack of documentation specifying the cause of the abscess (e.g., infection, trauma) may impact coding accuracy and CDI specialist queries.
Failing to document the depth of the abscess (e.g., subcutaneous, intramuscular) can affect code selection and lead to audit discrepancies.
Patient presents with complaints consistent with a left buttock abscess. Symptoms include localized pain, swelling, erythema, and tenderness to palpation in the left gluteal region. Onset of symptoms reported as [duration]. Patient may also report fever, chills, malaise, and purulent drainage. Physical examination reveals an indurated, fluctuant mass on the left buttock, possibly with overlying skin changes such as warmth and increased vascularity. Differential diagnosis includes furuncle, carbuncle, cellulitis, pilonidal cyst, and hidradenitis suppurativa. Diagnosis of left buttock abscess confirmed based on clinical presentation and physical examination findings. Treatment plan includes incision and drainage of the abscess, packing with iodoform gauze, and wound care instructions. Patient education provided regarding proper hygiene, wound dressing changes, and signs of infection. Antibiotic therapy may be considered based on severity of infection, presence of systemic symptoms, and patient comorbidities. Follow-up appointment scheduled for wound check and dressing change in [duration]. ICD-10 code L02.411, Left buttock abscess, is documented for billing and coding purposes. Patient advised to return to clinic or seek emergency medical attention if symptoms worsen or new symptoms develop.