ICDcodes.org
FY2027

L02.216 — Cutaneous abscess of umbilicus

BillableCC

Is L02.216 billable?

Yes — L02.216 is billable for FY2027. L02.216 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. L02.216 may be submitted for encounters from October 1, 2026 through September 30, 2027.

L02.216 at a glance

CodeL02.216
DescriptionCutaneous abscess of umbilicus
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does L02.216 group to?

L02.216 sits in MDC 09 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 573Skin Graft for Skin Ulcer or Cellulitis with MCCsurgical
  • 574Skin Graft for Skin Ulcer or Cellulitis with CCsurgical
  • 575Skin Graft for Skin Ulcer or Cellulitis without CC/MCCsurgical

As a secondary diagnosis, L02.216 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.

How is L02.216 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to L02.216. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Abscess › navel (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic)
  • Abscess › umbilicus (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic)
  • Abscess › trunk › umbilicus (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic)

Excludes1 — never code together — inherited from L02.2

The conditions below can never be reported together with L02.216 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • non-newborn omphalitis (L08.82)
  • omphalitis of newborn (P38.-)

Use additional code — inherited from L00-L08

Report an additional code alongside L02.216 to fully describe the condition. L02.216 is sequenced first.

  • code (B95-B97) to identify infectious agent.

Use additional code — inherited from L02

Report an additional code alongside L02.216 to fully describe the condition. L02.216 is sequenced first.

  • code to identify organism (B95-B96)

Excludes2 — not included here — inherited from Chapter 12

The conditions below are not part of L02.216, but a patient may have both at the same time. When documentation supports it, L02.216 and the excluded code may both be reported.

  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • lipomelanotic reticulosis (I89.8)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • systemic connective tissue disorders (M30-M36)
  • viral warts (B07.-)

Excludes2 — not included here — inherited from L00-L08

The conditions below are not part of L02.216, but a patient may have both at the same time. When documentation supports it, L02.216 and the excluded code may both be reported.

  • hordeolum (H00.0)
  • infective dermatitis (L30.3)
  • local infections of skin classified in Chapter 1
  • lupus panniculitis (L93.2)
  • panniculitis NOS (M79.3)
  • panniculitis of neck and back (M54.0-)
  • Perlèche NOS (K13.0)
  • Perlèche due to candidiasis (B37.0)
  • Perlèche due to riboflavin deficiency (E53.0)
  • pyogenic granuloma (L98.0)
  • relapsing panniculitis [Weber-Christian] (M35.6)
  • viral warts (B07.-)
  • zoster (B02.-)

Excludes2 — not included here — inherited from L02

The conditions below are not part of L02.216, but a patient may have both at the same time. When documentation supports it, L02.216 and the excluded code may both be reported.

  • abscess of anus and rectal regions (K61.-)
  • abscess of female genital organs (external) (N76.4)
  • abscess of male genital organs (external) (N48.2, N49.-)

Excludes2 — not included here — inherited from L02.2

The conditions below are not part of L02.216, but a patient may have both at the same time. When documentation supports it, L02.216 and the excluded code may both be reported.

  • abscess of breast (N61.1)
  • abscess of buttocks (L02.31)
  • abscess of female external genital organs (N76.4)
  • abscess of male external genital organs (N48.2, N49.-)
  • abscess of hip (L02.4)

How long has L02.216 existed?

L02.216 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which conditions are coded to L02.216?

What other codes are in the L02.21 family? (7)