L03.313: Cellulitis of chest wall
L03.313, cellulitis of chest wall, is listed as a covered diagnosis in 3 Medicare billing and coding articles that apply to 11 HCPCS Level II codes, including G0329 (Electromagnetic therapy, to one or more areas for chronic…), G0281 (Electrical stimulation, (unattended), to one or more…), G0151 (Services performed by a qualified physical therapist in…). The articles come from 3 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.
HCPCS Level II codes with L03.313 as a covered diagnosis
| Code | Description | Medicare coverage | DMEPOS fee 2026 (state range) | Articles listing it |
|---|---|---|---|---|
| G0329 | Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care | Carrier judgment | — | 3 |
| G0281 | Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care | Carrier judgment | — | 2 |
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | Carrier judgment | — | 2 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | Carrier judgment | — | 1 |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment | Carrier judgment | — | 1 |
| G2250 | Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment | Carrier judgment | — | 1 |
| G2251 | Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of clinical discussion | Carrier judgment | — | 1 |
| G0157 | Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes | Carrier judgment | — | 1 |
| G0159 | Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes | Carrier judgment | — | 1 |
| G2168 | Services performed by a physical therapist assistant in the home health setting in the delivery of a safe and effective physical therapy maintenance program, each 15 minutes | Carrier judgment | — | 1 |
| L1972 | Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, off-the shelf | Carrier judgment | — | 1 |
Medicare policy articles listing L03.313
- A55909: Billing and Coding: Wound Care (WPS Insurance Corporation (MAC - Part A, MAC - Part B); 2 Level II codes). LCD with the same title: L35125, L37166, L37228
- A57311: Billing and Coding: Physical Therapy - Home Health (CGS Administrators, LLC (HHH MAC); 7 Level II codes). LCD with the same title: L33942
- A53058: Billing and Coding: Home Health Physical Therapy (Palmetto GBA (HHH MAC); 6 Level II codes). LCD with the same title: L34564
A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.
Other L03 diagnoses (Cellulitis and acute lymphangitis)
- L03.311 — Cellulitis of abdominal wall
- L03.312 — Cellulitis of back [any part except buttock]
- L03.314 — Cellulitis of groin
- L03.315 — Cellulitis of perineum
- L03.316 — Cellulitis of umbilicus
- L03.317 — Cellulitis of buttock
- L03.31A — Cellulitis of flank
- L03.321 — Acute lymphangitis of abdominal wall
- L03.322 — Acute lymphangitis of back [any part except buttock]
- 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
- L03.32A — Acute lymphangitis of flank
- L03.011 — Cellulitis of right finger
- L03.012 — Cellulitis of left finger
- L03.021 — Acute lymphangitis of right finger
- L03.022 — Acute lymphangitis of left finger
- L03.031 — Cellulitis of right toe
- L03.032 — Cellulitis of left toe
- L03.041 — Acute lymphangitis of right toe
- L03.042 — Acute lymphangitis of left toe
- L03.111 — Cellulitis of right axilla
- L03.112 — Cellulitis of left axilla
- L03.113 — Cellulitis of right upper limb
- L03.114 — Cellulitis of left upper limb
- L03.115 — Cellulitis of right lower limb
- L03.116 — Cellulitis of left lower limb
- L03.121 — Acute lymphangitis of right axilla
Frequently asked questions
Does Medicare cover L03.313 (Cellulitis of chest wall)?
Medicare covers items and services, not diagnoses. 3 Medicare billing and coding articles list L03.313 as a covered diagnosis for 11 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.
Which HCPCS codes can be billed with ICD-10 L03.313?
The Level II codes from the policies most specific to this diagnosis are G0329 (Electromagnetic therapy, to one or more areas for chronic…, 3 articles); G0281 (Electrical stimulation, (unattended), to one or more…, 2 articles); G0151 (Services performed by a qualified physical therapist in…, 2 articles); G0283 (Electrical stimulation (unattended), to one or more areas…, 1 article); G2010 (Remote evaluation of recorded video and/or images…, 1 article). Code choice depends on the item supplied; check each code's descriptor.
Which Medicare policy articles list L03.313?
A55909 (Billing and Coding: Wound Care); A57311 (Billing and Coding: Physical Therapy - Home Health); A53058 (Billing and Coding: Home Health Physical Therapy).
What is ICD-10-CM code L03.313?
L03.313 is the ICD-10-CM code for cellulitis of chest wall, in category L03 (Cellulitis and acute lymphangitis), chapter 12: Diseases of the skin and subcutaneous tissue.
Next steps
- Run a reimbursement report for a device billed under G0329
- Watch G0329 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for G0329
Compiled by Caduvo from public CMS (Medicare) records, ICD-10-CM FY2026, HCPCS release October 2026, 2026 fee schedule (non-rural state fees). Not reviewed or endorsed by CMS. Not billing or legal advice. Report an error. Data and corrections policy.
Chapter 12: Diseases of the skin and subcutaneous tissue · All diagnoses · HCPCS lookup