Find comprehensive information on Left Thigh Abscess diagnosis, including clinical documentation, ICD-10 codes (L02.411, L02.412, L02.419), medical coding guidelines, treatment options, and healthcare resources. Learn about symptoms, differential diagnosis, and best practices for accurate coding and documentation of a Left Thigh Abscess in medical records. This resource provides valuable insights for healthcare professionals, coders, and clinicians seeking information on Left Thigh Abscess.
Also known as
Cutaneous abscess of thigh
Abscess located in the skin of the thigh.
Cutaneous abscess, unspecified
Abscess in the skin, but the specific site isn't documented.
Abscess of thigh, unspecified
Deep thigh abscess, not otherwise specified.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the left thigh abscess cutaneous?
When to use each related code
| Description |
|---|
| Left Thigh Abscess |
| Cellulitis of Left Thigh |
| Left Thigh Hematoma |
Coding left thigh abscess without specifying laterality can lead to claim rejections. Ensure documentation clarity for accurate coding (e.g., L75.01).
Lack of documentation specifying the cause of the abscess (e.g., staphylococcal) impacts code selection and reimbursement. CDI should query for details.
Insufficient documentation to distinguish between superficial and deep abscesses can lead to inaccurate coding and potential compliance issues. Clarify depth in physician notes.
Patient presents with complaints consistent with a left thigh abscess. Chief complaint includes localized pain, swelling, erythema, and tenderness to palpation in the left thigh region. Onset of symptoms is reported as [onset duration, e.g., gradual over the past week, acute onset 2 days ago]. Patient may also report associated symptoms such as fever, chills, malaise, and purulent drainage. Physical examination reveals an indurated, fluctuant mass measuring approximately [size in cm] located in the [specific location on left thigh, e.g., anterior, medial, posterior, proximal, distal] aspect of the left thigh. Differential diagnosis includes cellulitis, furuncle, carbuncle, and lymphadenitis. Skin and soft tissue infection is suspected. Diagnostic workup may include incision and drainage (IandD), wound culture, and complete blood count (CBC) to assess for leukocytosis. Ultrasound may be considered to evaluate the extent of the abscess and guide aspiration or drainage procedures. Treatment plan includes IandD with packing, wound care instructions, and antibiotic therapy with [antibiotic name and dosage] for [duration]. Patient education provided regarding signs and symptoms of infection, wound care management, and follow-up appointment scheduled in [timeframe]. ICD-10 code L02.418 (Abscess of lower leg, left) and CPT code [appropriate code for IandD based on complexity] will be used for billing and coding purposes. Patient tolerated the procedure well and was discharged in stable condition with follow-up instructions.