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L02

Non-Billable (Header)

Cutaneous abscess, furuncle and carbuncle

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

What This Code Means

L02 is the ICD-10-CM diagnosis code for cutaneous abscess, furuncle and carbuncle. L02 sits in the ICD-10-CM chapter for diseases of the skin and subcutaneous tissue (l00-l99), within the section covering infections of the skin and subcutaneous tissue (l00-l08).

Header codes like L02 cannot be reported on claims directly — they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at L02's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for L02 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 2 — Not included here, may code separately

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

Use Additional Code

  • code to identify organism (B95-B96)

Child Codes

Code Hierarchy

L02Cutaneous abscess, furuncle and carbuncle
L02Cutaneous abscess, furuncle and carbuncle

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