The new codes are for describing the infusion of tixagevimab and cilgavimab monoclonal antibody (code XW023X7), and the infusion of other new technology monoclonal antibody (code XW023Y7).
Why ICD-10 codes are important
ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical classification list by the World Health Organization (WHO). It contains codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases.
Their corresponding character in ICD-10-CM is:
Abrasion, unspecified lower leg, initial encounter S80. 819A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM S80. 819A became effective on October 1, 2021.
S80.21S80. 21 - Abrasion of knee. ICD-10-CM.
S80.212AICD-10-CM Code for Abrasion, left knee, initial encounter S80. 212A.
S80. 911A - Unspecified superficial injury of right knee [initial encounter]. ICD-10-CM.
Superficial injury of knee and lower leg ICD-10-CM S80. 912A is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
The ICD 10 coding scheme for reporting injury is as follows:First three characters: General category.Fourth character: The type of injury.Fifth character: Which body part was injured.Sixth character: Which hand was injured.Seventh character: The type of encounter (A, D, or S)
462 - Effusion, left knee.
W01.0XXAICD-10-CM Code for Fall on same level from slipping, tripping and stumbling without subsequent striking against object, initial encounter W01. 0XXA.
Abrasions. Abrasions are caused when the skin is rubbed or scraped off. Rope burns, floor burns, and skinned knees or elbows are common examples of abrasions. Abrasions easily can become infected, because dirt and germs are usually ground into the tissues.
S80. 912A - Unspecified superficial injury of left knee [initial encounter] | ICD-10-CM.
S89.91XAICD-10 Code for Unspecified injury of right lower leg, initial encounter- S89. 91XA- Codify by AAPC.
M25. 461 - Effusion, right knee. ICD-10-CM.
ICD Code S80.211 is a non-billable code. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'abrasion, right knee' in more detail. The 7th characters that can be added, and the resulting billable codes, are as follows:
A bruise, or contusion, is a type of hematoma of tissue in which capillaries and sometimes venules are damaged by trauma, allowing blood to seep, hemorr hage, or extravasate into the surrounding interstitial tissues . Bruises, which do not blanch under pressure, can involve capillaries at the level of skin, subcutaneous tissue, muscle, or bone. Bruises are not to be confused with other similar-looking lesions primarily distinguished by their by their diameter or causation. These lesions include petechia (< 3 mm result from numerous and diverse etiologies such as adverse reactions from medications such as warfarin, straining, asphyxiation, platelet disorders and diseases such as cytomegalovirus), purpura (3 mm to 1 cm, classified as palpable purpura or non-palpable purpura and indicates various pathologic conditions such as thrombocytopenia), and ecchymosis (>1 cm caused blood dissecting through tissue planes and settled in an area remote from the site of trauma or pathology such as periorbital ecchymosis, i.e.,"raccoon eyes" , arising from a basilar skull fracture or from a neuroblastoma).