M 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surgical wounds in ICD-10 ICD-10-CM is very specific and many easy-to-adapt codes such as non-healing wounds have been replaced by dedicated categories.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.
ICD-10-CM Diagnosis Code T81.32XA [convert to ICD-9-CM] Disruption of internal operation (surgical) wound, not elsewhere classified, initial encounter Disruption of internal operation (surgical) wound, NEC, init; Dehiscence of internal surgical wound; Disruption of internal operative wound ICD-10-CM Diagnosis Code O86.0
My best guess is to code T81.89XS and S31.109D (the patient has an open wound due to a surgical procedure that is slow to heal but is NOT dehisced or infected, so it is an complication of surgery-sequela/open wound in the healing status) Vernell Hester.
If there is a document reason for non healing then you would use the complication of surgery code and you would use the A character as this would be active treatment for a complication. I use the dehiscence as an example of what could be a surgical complication.
998.83 - Non-healing surgical wound. ICD-10-CM.
9XXA for Complication of surgical and medical care, unspecified, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
T81. 31 - Disruption of external operation (surgical) wound, not elsewhere classified. ICD-10-CM.
Wound dehiscence under the ICD-10-CM is coded T81. 3 which exclusively pertains to disruption of a wound not elsewhere classified.
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.
code 12020 (Treatment of superficial wound dehiscence; simple closure), which has a global period of 10 days, or. code 13160 (Secondary closure of surgical wound or dehiscence; extensive or complicated), which has a 90-day global period.
A non-healing wound is a wound that doesn't heal within five to eight weeks, even though you've been following your provider's instructions to take care of it. This can be very serious, because it can become infected and lead to an illness or even the loss of a limb.
Dehiscence is a partial or total separation of previously approximated wound edges, due to a failure of proper wound healing. This scenario typically occurs 5 to 8 days following surgery when healing is still in the early stages.
Postoperative wound infection is classified to ICD-9-CM code 998.59, Other postoperative infection. Code 998.59 also includes postoperative intra-abdominal abscess, postoperative stitch abscess, postoperative subphrenic abscess, postoperative wound abscess, and postoperative septicemia.
Sternal dehiscence is the process of separation of the bony sternum, which often is accompanied by mediastinitis (infection of the deep soft tissues). In thoracic and trunk reconstruction, plastic surgeons play a crucial role in addressing wound healing issues and reconstructive techniques of the chest wall.
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.
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 .