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L03

Non-Billable (Header)

Cellulitis and acute lymphangitis

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

What This Code Means

L03 is the ICD-10-CM diagnosis code for cellulitis and acute lymphangitis. L03 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 L03 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 L03'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 L03 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

  • 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)

Child Codes

Code Hierarchy

L03Cellulitis and acute lymphangitis
L03Cellulitis and acute lymphangitis

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