Unspecified open wound, left lower leg, initial encounter
2021 ICD-10-CM Diagnosis Code S81.802A: Unspecified open wound, left lower leg, initial encounter. ICD-10-CM Codes. ›. S00-T88 Injury, poisoning and certain other consequences of external causes. ›.
Then, Steri-Strips were applied to wound. Based on this documentation, the correct ICD-10-CM code is S81.812A Laceration without foreign body, right lower leg, initial encounter. HISTORY OF PRESENT ILLNESS: The patient is a 46-year-old male. He states that he was breaking up a fight between the dogs and was bitten on his hands.
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
Unspecified open wound, left lower leg, initial encounter. 2016 2017 2018 2019 2020 2021 Billable/Specific Code. S81.802A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM S81.802A became effective on October 1, 2020. This is the American ICD-10-CM version of ...
109A for Unspecified open wound of abdominal wall, unspecified quadrant without penetration into peritoneal cavity, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
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.
To code skin tears, begin in the alphabetic index under “INJURY, SUPERFICIAL,” and iden- tify the site of the injury. For example, if the patient has a skin tear because he or she has hit a leg on a wheelchair, look up Injury, Su- perficial, leg, which takes you to S80. 92-.
L90.6ICD-10 Code for Striae atrophicae- L90. 6- Codify by AAPC.
Burn Wound Burn wounds can be classified based on the extent of the injury: First-degree burns affect only the epidermis and may cause redness and pain. Second-degree burns affect the epidermis and the dermis and may cause blisters. Third-degree burns reach into the fatty layer under the skin and may destroy nerves.
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.
Open wound types include abrasions, excoriation, skin tears, avulsions, lacerations and punctures, according to our Skin and Wound Management course workbook. Traumatic open wounds involve a disruption in the integrity of the skin and underlying tissues caused by mechanical forces.
The most commonly used tool for skin tear classification is the ISTAP system (See ISTAP skin tear classification.) Using this system, you can categorize skin tears based on wound characteristics, including the presence and condition of the skin flap.
Category 1b: A skin tear where the edges can be realigned to the normal anatomical position. (without undue stretching) and the skin or flap color is pale, dusky or darkened. Category 1 should be coded as superficial wounds.
Striae rubra are the earliest presentation of striae distensae and are characterized by an erythematous to violaceous color (picture 1A-C). Over time, striae rubra evolve into striae alba, which appear hypopigmented, atrophic, and scar-like (picture 2A-B).
Stretch marks (striae) are indented streaks that appear on the abdomen, breasts, hips, buttocks or other places on the body. They're common in pregnant women, especially during the last trimester. Stretch marks aren't painful or harmful, but some people don't like the way they make their skin look.
I48. 1 is used to report atrial fibrillation when specified as persistent (Will be expanded 10/1/19)
The 2022 edition of ICD-10-CM S81.801A 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:
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.
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.
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.
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.).
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.