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Home/Diagnosis/ICD-10 Coding for Infected Toe

ICD-10 Coding for Infected Toe

L03.031
B35.1

Complete ICD-10-CM coding and documentation guide for icd-10 coding for infected toe includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Toe Infection
Infected Digit
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Key Information: ICD-10 Coding for Infected Toe

Essential facts and insights about ICD-10 Coding for Infected Toe

Use ICD-10 code L03.031 for cellulitis of right toe, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Cellulitis of right toe

Billable Code
L03.031
Billable

Diagnostic Criteria

  • • Presence of erythema and swelling extending beyond the toe

Applicable To

  • • Bacterial infection of right toe

Important Notes

  • • Ensure laterality is documented to avoid unspecified coding.

Onychomycosis

Billable Code
B35.1
Billable

Diagnostic Criteria

  • • Positive fungal culture or PCR
  • • Hyphae confirmed by KOH prep

Applicable To

  • • Fungal infection of the nail

Important Notes

  • • Ensure lab confirmation of fungal infection before coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

B95.6

Staphylococcus aureus as the cause of diseases classified elsewhere

Use to specify the causative organism if identified.

Frequently Asked Questions

What is the ICD-10 code for an infected toe?

The ICD-10 code for an infected toe, specifically cellulitis, is L03.031 for the right toe and L03.032 for the left toe.

How do you code a fungal infection of the toe?

For a fungal infection of the toe, use ICD-10 code B35.1, which covers onychomycosis.

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