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L02.232

Billable

Carbuncle of back [any part, except buttock]

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A cluster of connected, painful, pus-filled bumps (carbuncle) on the back (excluding the buttocks) representing a more severe skin infection.

Coding Tips

  • Confirm the lesion is on the back proper and not on the buttocks, which would use a different code
  • Document whether the carbuncle is on the upper, mid, or lower back if possible for clinical clarity

Code Hierarchy

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