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L03.119
ICD-10-CM
Staph Infection of the Arm

Learn about Staph infection of the arm diagnosis, including clinical documentation, ICD-10 codes (L02.031, L02.032, L02.039), healthcare treatment options, and medical coding guidelines. Find information on cellulitis, abscess, MRSA, Staphylococcal skin infection, and arm infections for accurate diagnosis and coding. This resource helps healthcare professionals properly document and code Staph infections of the upper limb using relevant medical terminology.

Also known as

Staphylococcal Infection of the Arm
MRSA Arm Infection
MSSA Arm Infection

Diagnosis Snapshot

Key Facts
  • Definition : Bacterial infection of the arm skin caused by Staphylococcus aureus.
  • Clinical Signs : Redness, swelling, pain, warmth, pus-filled bumps, fever.
  • Common Settings : Community-acquired, hospital-acquired, nursing homes.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC L03.119 Coding
L00-L08

Infections of the skin and...

Covers various skin infections, including staphylococcal.

A49-A49

Staphylococcal infections

Encompasses infections caused by Staphylococcus bacteria.

M00-M25

Diseases of the musculoskeletal...

Includes infections affecting bones and joints, potentially from staph.

Code-Specific Guidance

Decision Tree for

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

Is the staph infection localized to the skin?

  • Yes

    Is it impetigo or ecthyma?

  • No

    Is it cellulitis?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Staph arm infection
Cellulitis of arm
Abscess of arm

Documentation Best Practices

Documentation Checklist
  • Staph infection arm diagnosis documentation
  • ICD-10 code for arm staph infection
  • Document infection site, laterality (left/right)
  • Record purulence, erythema, swelling details
  • Culture/sensitivity test results if performed

Coding and Audit Risks

Common Risks
  • Unspecified Site

    Coding staph infection without specifying arm location leads to inaccurate severity and reimbursement. Use specific laterality and site codes.

  • Missing Infection Type

    Failing to document the specific type of staph infection (e.g., MRSA) impacts appropriate antibiotic coding and infection control tracking.

  • Complication Miscoding

    Incorrectly coding cellulitis or abscess as the primary diagnosis instead of the underlying staph infection skews data and reimbursement.

Mitigation Tips

Best Practices
  • Document MRSA risk factors: prior infections, hospitalizations.
  • Code S. aureus arm infections with ICD-10-CM L03.011, L03.119
  • Ensure CDI capture of abscess, cellulitis details for accurate billing.
  • Follow antibiotic stewardship guidelines for appropriate Rx, reduce resistance.
  • Meticulous hand hygiene, wound care crucial to prevent infection spread.

Clinical Decision Support

Checklist
  • Verify purulent drainage or localized swelling, redness, pain in arm.
  • Confirm gram-positive cocci in clusters from wound culture (ICD-10 L08.81).
  • Document fever, chills, or elevated WBC count (SNOMED CT 443646002).
  • Assess for systemic symptoms (e.g., hypotension, tachycardia) for sepsis risk.

Reimbursement and Quality Metrics

Impact Summary
  • Staph infection arm reimbursement impacted by accurate ICD-10 coding (L03.0) and appropriate procedure codes for incision and drainage, debridement, or other treatments.
  • Coding quality metrics affected by proper documentation of infection site, severity (cellulitis, abscess), and causative agent (e.g., MRSA).
  • Hospital reporting data on staph infection arm cases influences infection control measures and antibiotic stewardship programs.
  • Reimbursement denials reduced through precise coding and documentation supporting medical necessity of services for arm staph infection.

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.

Quick Tips

Practical Coding Tips
  • Code arm cellulitis with staph confirmed
  • Document abscess, purulence if present
  • Include laterality: left/right arm
  • Consider MRSA coding if applicable
  • Check ICD-10 for systemic involvement

Documentation Templates

Patient presents with signs and symptoms consistent with a staphylococcus aureus infection of the right upper arm.  Onset reported as approximately three days prior to presentation, characterized by localized erythema, edema, warmth, and pain to palpation.  The affected area measures approximately 5 cm x 7 cm and is centered on the lateral aspect of the right upper arm.  The patient reports increasing pain and tenderness, along with subjective fever and chills.  No purulent drainage or fluctuance noted on examination.  Regional lymphadenopathy is present in the right axilla.  Vital signs include a temperature of 100.4 degrees Fahrenheit, heart rate of 92 beats per minute, respiratory rate of 18 breaths per minute, and blood pressure of 12080 mmHg.  The patient denies any known allergies.  Past medical history is significant for type 2 diabetes mellitus.  Surgical history is unremarkable.  Social history includes smoking one pack of cigarettes per day.  Assessment:  Staphylococcus infection, cellulitis, right upper arm.  Differential diagnoses included abscess, insect bite, and contact dermatitis.  Plan:  The patient was prescribed oral dicloxacillin 500 mg four times daily for ten days.  Wound care instructions provided, including keeping the affected area clean and dry, and applying warm compresses.  Patient education provided regarding signs and symptoms of worsening infection, such as increased pain, swelling, redness, or fever.  Follow-up appointment scheduled in one week to assess response to treatment.  ICD-10 code L03.115, Cellulitis of right upper arm.  CPT code 99213, Office or other outpatient visit for the evaluation and management of an established patient.