If the wound had been 10 cm long, proper coding would be 13132, describing the first 7.5 cm, and +13133 Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; each additional 5 cm or less (List separately in addition to code for primary procedure) to account for the remaining 2.5 cm.
Non-healing surgical wounds in ICD-10. ICD-10-CM is very specific and many easy-to-adapt codes such as non-healing wounds have been replaced by dedicated categories. Use T81.89X (A, D, or S) along with a secondary code for the complication/manifestation.
The ICD-10-CM Alphabetical Index is designed to allow medical coders to look up various medical terms and connect them with the appropriate ICD codes. There are 143 terms under the parent term 'Wound' in the ICD-10-CM Alphabetical Index . Wound. abdomen, abdominal. wall S31.109.
fracture of ankle and malleolus ( S82.-) frostbite ( T33-T34) insect bite or sting, venomous ( T63.4) Injuries to the ankle and foot. S91. ICD-10-CM Diagnosis Code S91. Open wound of ankle, foot and toes. 2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code. Code Also.
Gunshot wound of left lower leg Open wound of left lower leg ICD-10-CM S81.802A is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 604 Trauma to the skin, subcutaneous tissue and breast with mcc
S91. 301A - Unspecified open wound, right foot [initial encounter]. ICD-10-CM.
ICD-10 Code for Disruption of external operation (surgical) wound, not elsewhere classified, initial encounter- T81. 31XA- Codify by AAPC.
Open wound of ankle, foot and toes ICD-10-CM S91. 001A is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
The 2022 edition of ICD-10-CM S99. 921A became effective on October 1, 2021.
81 for Encounter for surgical aftercare following surgery on specified body systems is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Surgical wound dehiscence (SWD) has been defined as the separation of the margins of a closed surgical incision that has been made in skin, with or without exposure or protrusion of underlying tissue, organs, or implants.
Unspecified open wound, left ankle, initial encounter S91. 002A 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 S91. 002A became effective on October 1, 2021.
The types of open wounds classified in ICD-10-CM are laceration without foreign body, laceration with foreign body, puncture wound without foreign body, puncture wound with foreign body, open bite, and unspecified open wound. For instance, S81. 812A Laceration without foreign body, right lower leg, initial encounter.
2. A non-healing wound, such as an ulcer, is not coded with an injury code beginning with the letter S. Four common codes are L97-, “non-pressure ulcers”; L89-, “pressure ulcers”; I83-, “varicose veins with ulcers”; and I70.
S99.929AUnspecified injury of unspecified foot, initial encounter S99. 929A 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 S99. 929A became effective on October 1, 2021.
S99. 921A - Unspecified injury of right foot [initial encounter]. ICD-10-CM.
S99.922AS99. 922A - Unspecified injury of left foot [initial encounter]. ICD-10-CM.
The 2022 edition of ICD-10-CM S81.802A became effective on October 1, 2021.
Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code.
Main term entries in the ICD-10-CM index for open wounds can be either the type of wound (e.g., puncture), or the term wound, open. Using either term will allow the coder to find the correct type of wound and anatomical location by using the indented subterms. For example, if you look up puncture wound of the abdomen in the index using the main term Wound, open and then go to the subterms Abdomen, wall, puncture, an instructional note will guide you to “see” Puncture, abdomen, wall.#N#Example 1:
ER COURSE: The wound was cleaned with Betadine solution and normal saline and dried. Dermabond was applied to wound, with edges well approximated. Then, Steri-Strips were applied to wound.
Lacerations are generally caused by trauma or contact with an object. Incisions: Typically the result of a sharp object such as a scalpel, knife, or scissors.
Penetrating wounds can be life threatening, causing serious injury, especially if involving vital organs, major blood vessels, or nerves. Gunshot wounds: These are considered to be penetrating wounds that are exclusively caused by bullets from firearms (guns, rifles, etc.).
Type of wound — Open wounds include: Abrasions: Shallow, irregular wounds of the upper layers of skin. Caused by skin brushing with either a rough surface or a smooth surface at high speed. Usually present with minor to no bleeding, with some pain that subsides shortly after initial injury.
Depending on the depth and site of the wound, an incision can be life threatening, especially if it involves vital organs, major blood vessels, or nerves. Punctures: Small, rounded wounds that result from needles, nails, teeth (bites), or other tapered objects.
The puncture wounds on the patient’s hands are not gaping and I think the risks outweigh the benefits of any type of suture closure. The wounds are quite small and I think suturing them would likely increase their risk of infection. IMPRESSION: Dog bite.