L03.213 — Periorbital cellulitis
Is L03.213 billable?
Yes — L03.213 is billable for FY2027. L03.213 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. L03.213 may be submitted for encounters from October 1, 2026 through September 30, 2027.
L03.213 at a glance
| Code | L03.213 |
|---|---|
| Description | Periorbital cellulitis |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does L03.213 group to?
L03.213 sits in MDC Pre 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.
- 011Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCCsurgical
- 012Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CCsurgical
- 013Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCCsurgical
As a secondary diagnosis, L03.213 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is L03.213 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to L03.213. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Cellulitis › periorbital (diffuse) (phlegmonous) (septic) (suppurative)
- Cellulitis › preseptal (diffuse) (phlegmonous) (septic) (suppurative)
Inclusion terms
Alternative wording in documentation that is classified to L03.213.
- Preseptal cellulitis
Use additional code — inherited from L00-L08
Report an additional code alongside L03.213 to fully describe the condition. L03.213 is sequenced first.
- code (B95-B97) to identify infectious agent.
Excludes2 — not included here — inherited from Chapter 12
The conditions below are not part of L03.213, but a patient may have both at the same time. When documentation supports it, L03.213 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 L03.213, but a patient may have both at the same time. When documentation supports it, L03.213 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 L03
The conditions below are not part of L03.213, but a patient may have both at the same time. When documentation supports it, L03.213 and the excluded code may both be reported.
- cellulitis of anal and rectal region (K61.-)
- cellulitis of external auditory canal (H60.1)
- cellulitis of eyelid (H00.0)
- cellulitis of female external genital organs (N76.4)
- cellulitis of lacrimal apparatus (H04.3)
- cellulitis of male external genital organs (N48.2, N49.-)
- cellulitis of mouth (K12.2)
- cellulitis of nose (J34.0)
- eosinophilic cellulitis [Wells] (L98.3)
- febrile neutrophilic dermatosis [Sweet] (L98.2)
- lymphangitis (chronic) (subacute) (I89.1)
How long has L03.213 existed?
L03.213 first appears in FY2018 (FY2017 is not available, so it may have appeared then).
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.