L03.316 ICD-10-CM Code: Cellulitis of umbilicus

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for L03.316 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025

Notes without a marker are published on L03.316 itself; “inherited from” names the category or block whose note applies here.

Coder workflow for L03.316

MedCoder structured workflow — derived from this code’s own official record

Documentation check

The provider’s diagnostic statement

Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).

The conditions the Use Additional Code note names

Reported with this code when documented; a conditional instruction (“if applicable”, “if known”) applies only when the record supports it.

Official instructions as workflow

• Excludes2 — not part of L03.316(28 notes)

  Coding workflow: The conditions named in this note are not included in L03.316. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

  CompareK61, N61.0, N76.4, N48.2, N49, P38

  See the official tabular notes · Guidelines I.A.12.b

• Use Additional Code — after identifying L03.316(1 note)

  Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with L03.316 when it does. Where the instruction is conditional (“if applicable”, “if known”), it applies only when the record documents the condition.

  See the official tabular notes · Guidelines I.A.13

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Indexed Clinical Terms (3)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

• Cellulitis (diffuse) (phlegmonous) (septic) (suppurative), navel
• Cellulitis (diffuse) (phlegmonous) (septic) (suppurative), trunk, umbilicus
• Cellulitis (diffuse) (phlegmonous) (septic) (suppurative), umbilicus

Don’t confuse L03.316 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of L03.316 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

• L03.319— Specificity relationship (Review)

  Overlapping diagnoses in the same category.

  Overlapping codes in the same category — the documentation decides which is the more specific fit.

  What moves you there: A record that documents no more than “Cellulitis of trunk, unspecified” takes L03.319; specificity in the record moves it back here.

  Full comparison: L03.316 vs L03.319 →

• K61— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  What moves you there: Documentation of cellulitis of anal and rectal regions adds K61; it is not part of this code and both may be reported when both are documented.

  Full comparison: L03.316 vs K61 →

• N61.0— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  What moves you there: Documentation of cellulitis of breast NOS adds N61.0; it is not part of this code and both may be reported when both are documented.

  Full comparison: L03.316 vs N61.0 →

• N76.4— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  What moves you there: Documentation of cellulitis of female external genital organs adds N76.4; it is not part of this code and both may be reported when both are documented.

  Full comparison: L03.316 vs N76.4 →

• N48.2— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  What moves you there: Documentation of cellulitis of male external genital organs adds N48.2; it is not part of this code and both may be reported when both are documented.

  Full comparison: L03.316 vs N48.2 →

• N49— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  What moves you there: Documentation of cellulitis of male external genital organs adds N49; it is not part of this code and both may be reported when both are documented.

  Full comparison: L03.316 vs N49 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Verify Before Coding

• CC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name L03.316 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes1 note: I89.1 — Lymphangitis (via L03.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 5 Excludes2 notes: L03.311 — Cellulitis of abdominal wall, L89 — Pressure ulcer (via L03.-), L97 — Non-pressure chronic ulcer of lower limb, not elsewhere classified (via L03.-), L98.4 — Non-pressure chronic ulcer of skin, not elsewhere classified (via L03.-), L98.A — Non-pressure chronic ulcer of upper limb, not elsewhere classified (via L03.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

Referenced by 1 Use Additional Code instruction: T65.84 — Toxic effect of xylazine (via L03.-).

These codes instruct coders to additionally report this code when it applies.

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

FY2026 MS-DRG: CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 67 clinically related codes on its CMS exclusion list.

Named in the grouper logic of 7 MS-DRGs: DRG 573 (MDC 09), DRG 574 (MDC 09), DRG 575 (MDC 09), DRG 602 (MDC 09), DRG 603 (MDC 09), DRG 791 (MDC 15), DRG 793 (MDC 15).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):SKN001 — Skin and subcutaneous tissue infections (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical process (MS-DRG)

Acts as CC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.

L02.217 — Cutaneous abscess of flank, L02.219 — Cutaneous abscess of trunk, unspecified, L02.811 — Cutaneous abscess of head [any part, except face], L02.818 — Cutaneous abscess of other sites, L02.91 — Cutaneous abscess, unspecified, L03.311 — Cellulitis of abdominal wall, L03.312 — Cellulitis of back [any part except buttock and flank], L03.313 — Cellulitis of chest wall, L03.314 — Cellulitis of groin, L03.315 — Cellulitis of perineum, L03.319 — Cellulitis of trunk, unspecified, L03.31A — Cellulitis of flank, L03.321 — Acute lymphangitis of abdominal wall, L03.322 — Acute lymphangitis of back [any part except buttock and flank], L03.323 — Acute lymphangitis of chest wall, L03.324 — Acute lymphangitis of groin, L03.325 — Acute lymphangitis of perineum, L03.326 — Acute lymphangitis of umbilicus, L03.329 — Acute lymphangitis of trunk, unspecified, L03.32A — Acute lymphangitis of flank, +46 more

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Skin and subcutaneous tissue infections).

L03.211 — Cellulitis of face, L03.212 — Acute lymphangitis of face, L03.213 — Periorbital cellulitis, L03.221 — Cellulitis of neck, L03.222 — Acute lymphangitis of neck, L03.311 — Cellulitis of abdominal wall, L03.312 — Cellulitis of back [any part except buttock and flank], L03.313 — Cellulitis of chest wall, L03.314 — Cellulitis of groin, L03.315 — Cellulitis of perineum, L03.317 — Cellulitis of buttock, L03.319 — Cellulitis of trunk, unspecified, L03.31A — Cellulitis of flank, L03.321 — Acute lymphangitis of abdominal wall, L03.322 — Acute lymphangitis of back [any part except buttock and flank], L03.323 — Acute lymphangitis of chest wall, L03.324 — Acute lymphangitis of groin, L03.325 — Acute lymphangitis of perineum, L03.326 — Acute lymphangitis of umbilicus, L03.327 — Acute lymphangitis of buttock, +150 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Cellulitis”; these codes share that main term but sit in a different category of the Tabular List.

J38.3 — Other diseases of vocal cords (vocal cord), J38.7 — Other diseases of larynx (larynx), J39.1 — Other abscess of pharynx (pharynx), K11.3 — Abscess of salivary gland (submaxillary, gland), K12.2 — Cellulitis and abscess of mouth (mouth), K13.0 — Diseases of lips (lip), K61.0 — Anal abscess (anus), K61.1 — Rectal abscess (rectum), K65.0 — Generalized (acute) peritonitis (pelvis, pelvic, male), K68.9 — Other disorders of retroperitoneum (retroperitoneal), L98.3 — Eosinophilic cellulitis [Wells] (eosinophilic), N34.0 — Urethral abscess (periurethral), N48.22 — Cellulitis of corpus cavernosum and penis (penis), N49.0 — Inflammatory disorders of seminal vesicle (seminal vesicle), N49.2 — Inflammatory disorders of scrotum (scrotum), N49.8 — Inflammatory disorders of other specified male genital organs (genital organ NEC, male, specified NEC), N49.9 — Inflammatory disorder of unspecified male genital organ (genital organ NEC, male), N61.0 — Mastitis without abscess (nipple), N73.0 — Acute parametritis and pelvic cellulitis (periuterine, acute), N73.2 — Unspecified parametritis and pelvic cellulitis (periuterine), +13 more

Lab tests where this diagnosis supports Medicare coverage (NCD)

Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.

HIV Screening Test

Contextual Map

Every relationship of L03.316 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run L03.316 with these 7 related codes in Claim Check

Hierarchy

• L00-L99 — Chapter 12: Diseases of the Skin and Subcutaneous Tissue (L00-L99) (L00-L99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• L00-L08 — Infections of the skin and subcutaneous tissue[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026

Referenced by Excludes1 notes

• I89.1 — Lymphangitis[Excludes1](via L03.-): “acute lymphangitis (L03.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026

Referenced by Excludes2 notes

• L03.311 — Cellulitis of abdominal wall[Excludes2]: “cellulitis of umbilicus (L03.316)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
• L89 — Pressure ulcer[Excludes2](via L03.-): “skin infections (L00-L08)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
• L97 — Non-pressure chronic ulcer of lower limb, not elsewhere classified[Excludes2](via L03.-): “skin infections (L00-L08)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
• L98.4 — Non-pressure chronic ulcer of skin, not elsewhere classified[Excludes2](via L03.-): “skin infections (L00-L08)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
• L98.A — Non-pressure chronic ulcer of upper limb, not elsewhere classified[Excludes2](via L03.-): “skin infections (L00-L08)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026

Referenced by Use Additional Code instructions

• T65.84 — Toxic effect of xylazine[Use Additional Code](via L03.-): “cellulitis and acute lymphangitis (L03.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026

Clinical classification (CCSR)

• SKN001 — Skin and subcutaneous tissue infections[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)

MS-DRG Grouper

• CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”— CMS MS-DRG Definitions Manual (Appendix C) · FY2026
• DRG 573 — SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC[MS-DRG]: “SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC (MDC 09)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• DRG 574 — SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC[MS-DRG]: “SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC (MDC 09)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• DRG 575 — SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC[MS-DRG]: “SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC (MDC 09)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• DRG 602 — CELLULITIS WITH MCC[MS-DRG]: “CELLULITIS WITH MCC (MDC 09)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• DRG 603 — CELLULITIS WITHOUT MCC[MS-DRG]: “CELLULITIS WITHOUT MCC (MDC 09)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• DRG 791 — PREMATURITY WITH MAJOR PROBLEMS[MS-DRG]: “PREMATURITY WITH MAJOR PROBLEMS (MDC 15)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• DRG 793 — FULL TERM NEONATE WITH MAJOR PROBLEMS[MS-DRG]: “FULL TERM NEONATE WITH MAJOR PROBLEMS (MDC 15)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026

MDC crossing

• MDC 09 — Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast[MDC crossing]: “Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 7,376 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026
• MDC 15 — Newborns and Other Neonates with Conditions Originating in Perinatal Period[MDC crossing]: “Newborns and Other Neonates with Conditions Originating in Perinatal Period — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026

Index entries

• Cellulitis (diffuse) (phlegmonous) (septic) (suppurative), navel[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
• Cellulitis (diffuse) (phlegmonous) (septic) (suppurative), trunk, umbilicus[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
• Cellulitis (diffuse) (phlegmonous) (septic) (suppurative), umbilicus[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes (40)

• L03 — Cellulitis and acute lymphangitis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• L03.123 — Acute lymphangitis of right upper limb[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• L03.124 — Acute lymphangitis of left upper limb[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• L03.125 — Acute lymphangitis of right lower limb[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• L03.126 — Acute lymphangitis of left lower limb[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• L03.129 — Acute lymphangitis of unspecified part of limb[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• L03.2 — Cellulitis and acute lymphangitis of face and neck[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• L03.21 — Cellulitis and acute lymphangitis of face[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• and 32 more

Change history

• FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data

CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page

Claim edits Official source data

CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page

Inpatient payment groups Official source data

CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page

Change history and date-of-service validity Official source data

CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page

Comparisons, relationships and the contextual map MedCoder structured relationship

Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears

Summary and FAQ answers MedCoder explanation

Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Nearest Codes in This Family

Official ICD-10-CM classifications closest to L03.316 in its code family, with their registry titles.

• L03.311 — Cellulitis of abdominal wall
• L03.312 — Cellulitis of back [any part except buttock and flank]
• L03.313 — Cellulitis of chest wall
• L03.314 — Cellulitis of groin
• L03.315 — Cellulitis of perineum
• L03.317 — Cellulitis of buttock
• L03.319 — Cellulitis of trunk, unspecified
• L03.31A — Cellulitis of flank
• L03.32 — Acute lymphangitis of trunk
• L03.321 — Acute lymphangitis of abdominal wall

View all codes in the L03 family