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FY2027 ICD-10-CM reference

L02.232: Carbuncle of back [any part, except buttock and flank]

By the HCC Buddy Coding Team

The official ICD-10-CM descriptor is Carbuncle of back [any part, except buttock and flank]. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Billable code. Verified against the official FY2027 order file.

CMS-HCC V28

No V28 HCC for 2026 dates of service (CMS 2027 Initial ICD-10-CM Mappings)

CMS-HCC V24

Not used for payment year 2027 Medicare Advantage payment

ESRD

No category in the PY2026 CMS mapping; CMS 2027 initial file unchanged

PACE

Source verification pending

RxHCC

No category in the PY2026 CMS mapping; CMS 2027 initial file unchanged

HHS-HCC

No category in the HHS-HCC 2026 benefit year mapping

FY2027 Tabular instructions

Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.

Excludes2

certain conditions originating in the perinatal period (P04-P96)

Source: L00-L99 (chapter, inherited).

Excludes2

certain infectious and parasitic diseases (A00-B99)

Source: L00-L99 (chapter, inherited).

Excludes2

complications of pregnancy, childbirth and the puerperium (O00-O9A)

Source: L00-L99 (chapter, inherited).

Excludes2

congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)

Source: L00-L99 (chapter, inherited).

Excludes2

endocrine, nutritional and metabolic diseases (E00-E88)

Source: L00-L99 (chapter, inherited).

Excludes2

lipomelanotic reticulosis (I89.8)

Source: L00-L99 (chapter, inherited).

Excludes2

neoplasms (C00-D49)

Source: L00-L99 (chapter, inherited).

Excludes2

symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Source: L00-L99 (chapter, inherited).

Excludes2

systemic connective tissue disorders (M30-M36)

Source: L00-L99 (chapter, inherited).

Excludes2

viral warts (B07.-)

Source: L00-L99 (chapter, inherited).

Instructional note

code (B95-B97) to identify infectious agent.

Source: L00-L08 (section, inherited).

Excludes2

hordeolum (H00.0)

Source: L00-L08 (section, inherited).

Excludes2

infective dermatitis (L30.3)

Source: L00-L08 (section, inherited).

Excludes2

local infections of skin classified in Chapter 1

Source: L00-L08 (section, inherited).

Excludes2

lupus panniculitis (L93.2)

Source: L00-L08 (section, inherited).

Excludes2

panniculitis NOS (M79.3)

Source: L00-L08 (section, inherited).

Excludes2

panniculitis of neck and back (M54.0-)

Source: L00-L08 (section, inherited).

Excludes2

Perlèche NOS (K13.0)

Source: L00-L08 (section, inherited).

Excludes2

Perlèche due to candidiasis (B37.0)

Source: L00-L08 (section, inherited).

Excludes2

Perlèche due to riboflavin deficiency (E53.0)

Source: L00-L08 (section, inherited).

Excludes2

pyogenic granuloma (L98.0)

Source: L00-L08 (section, inherited).

Excludes2

relapsing panniculitis [Weber-Christian] (M35.6)

Source: L00-L08 (section, inherited).

Excludes2

viral warts (B07.-)

Source: L00-L08 (section, inherited).

Excludes2

zoster (B02.-)

Source: L00-L08 (section, inherited).

Instructional note

code to identify organism (B95-B96)

Source: L02 (category, inherited).

Excludes2

abscess of anus and rectal regions (K61.-)

Source: L02 (category, inherited).

Excludes2

abscess of female genital organs (external) (N76.4)

Source: L02 (category, inherited).

Excludes2

abscess of male genital organs (external) (N48.2, N49.-)

Source: L02 (category, inherited).

Excludes1

non-newborn omphalitis (L08.82)

Source: L02.2 (self, inherited).

Excludes1

omphalitis of newborn (P38.-)

Source: L02.2 (self, inherited).

Excludes2

abscess of breast (N61.1)

Source: L02.2 (self, inherited).

Excludes2

abscess of buttocks (L02.31)

Source: L02.2 (self, inherited).

Excludes2

abscess of female external genital organs (N76.4)

Source: L02.2 (self, inherited).

Excludes2

abscess of male external genital organs (N48.2, N49.-)

Source: L02.2 (self, inherited).

Excludes2

abscess of hip (L02.4)

Source: L02.2 (self, inherited).

Source: CMS FY2027 Tabular List and Alphabetic Index.

Open Tabular instructions and code details

Compare the FY2027 additions, removals and billable-status changes

What does L02.232 mean in FY2027?

The official ICD-10-CM descriptor is Carbuncle of back [any part, except buttock and flank]. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Is L02.232 billable in FY2027?

The FY2027 order file marks L02.232 as billable. Check the complete Tabular instructions and documentation before assigning it.

Does L02.232 map to an HCC?

L02.232 has no CMS-HCC V28 category in the CMS 2027 Initial ICD-10-CM Mappings (payment year 2027, 2026 dates of service). Under the PY2026 CMS mapping; CMS 2027 initial file unchanged: no ESRD category; no RxHCC category. Coefficients for these models are pending verification for payment year 2027. HHS-HCC: no category in the HHS-HCC 2026 benefit year mapping. CMS-HCC V24: not used for payment year 2027 Medicare Advantage payment (CMS CY 2027 Rate Announcement). The PACE mapping is still pending verification for FY2027.

Source: CMS FY2027 ICD-10-CM order file. Payment model: CMS CY 2027 Rate Announcement. Read the FY2027 Official Guidelines.

Review the FY2026 April edition