first go to bite then site of the bite then it will specify either open bite or superficial bite. Sounds like you have an open bite. The W54 code for bitten by dog is the external cause of the injury, not the injury. external cause codes never are to be listen first then are listed last to explain the reason for the injury.
Simply think of how you would respond in some of these cases:
What to Do If Another Dog Bites Your Dog
ICD-Code W54. 0XXA is a billable ICD-10 code used for healthcare diagnosis reimbursement of Bitten by Dog, Initial Encounter. Its corresponding ICD-9 code is E906. 0.
Bitten by other mammals, initial encounter W55. 81XA 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 W55. 81XA became effective on October 1, 2021.
D.Rehab therapy would be considered part of the healing and recovery phase, so you would code for “subsequent encounter,” thus assigning the seventh character “D.”
W54.8ICD-10-CM Code for Other contact with dog W54. 8.
01XD.
ICD-10 code M79. 642 for Pain in left hand is a medical classification as listed by WHO under the range - Soft tissue disorders .
R06. 2 Wheezing - ICD-10-CM Diagnosis Codes.
The seventh characters available for these open fractures are: B, Initial encounter for open fracture type I or II. C, Initial encounter for open fracture type IIIA, IIIB, or IIIC. E, Subsequent encounter for open fracture type I or II with routine healing.
The 7th character represents the type of encounter, or phase of treatment; this could be an initial encounter, a subsequent encounter, or a sequela (previously known as a late effect).
Top 10 most common injuries related to non-venomous animalsICD-10 CodeICD-9 CodeICD-10 DescriptionW540XXAE9060Bitten by dog, initial encounterW5501XAE9063Bitten by cat, initial encounterW540XXDE9060Bitten by dog, subsequent encounterW5503XAE9068Scratched by cat, initial encounter6 more rows
ICD-10-CM Code for Scratched by cat, initial encounter W55. 03XA.
Example 2: A subsequent encounter (character “D”) describes an episode of care during which the patient receives routine care for her or his condition during the healing or recovery phase.
The most common seventh character extension is used to capture information about the phase of treatment. A- Initial Encounter: Active treatment or initial encounter for an injury, poisoning, or other consequences of and external cause.
Z codes (i.e., Z55-Z65; see below) are a set of ICD-10-CM codes (see here for the Centers for Disease Control and Prevention (CDC)'s National Center for Health Statistics (NCHS)'s ICD-10-CM Browser Tool) used to report social, economic, and environmental determinants known to affect health and health-related outcomes ( ...
default codeA code listed next to a main term in the ICD-10-CM Alphabetic Index is called a default code, which: • Represents the condition most commonly associated with the main term; or • Indicates that it is the unspecified code for the condition.
Bitten by dog, initial encounter 1 W54.0XXA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM W54.0XXA became effective on October 1, 2020. 3 This is the American ICD-10-CM version of W54.0XXA - other international versions of ICD-10 W54.0XXA may differ.
W54.0XXA describes the circumstance causing an injury, not the nature of the injury.
Bitten by dog, subsequent encounter 1 W54.0XXD is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM W54.0XXD became effective on October 1, 2020. 3 This is the American ICD-10-CM version of W54.0XXD - other international versions of ICD-10 W54.0XXD may differ.
W54.0XXD describes the circumstance causing an injury, not the nature of the injury.
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:
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.
ICD Code W54.0 is a non-billable code. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'bitten by dog' in more detail. The 7th characters that can be added, and the resulting billable codes, are as follows:
The ICD-10-CM External Cause Index links the below-listed medical terms to the ICD code W54.0. Click on any term below to browse the external cause index.
W54.0. Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail. Code requires 7th Character Extension identifier.
S31.825D is a billable diagnosis code used to specify a medical diagnosis of open bite of left buttock, subsequent encounter. The code S31.825D is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.#N#The ICD-10-CM code S31.825D might also be used to specify conditions or terms like animal bite of buttock, dog bite of buttock, open wound of left buttock or open wound of left buttock due to dog bite. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.#N#S31.825D is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like open bite of left buttock. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.
Spay or neuter your dog to make it less aggressive
S31.825D is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.