2018/2019 ICD-10-CM Diagnosis Code S61.4. Open wound of hand. S61.4 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
Unspecified open wound of left hand, initial encounter. S61.402A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Right hand injury, degloving ICD-10-CM S61.401A is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 604 Trauma to the skin, subcutaneous tissue and breast with mcc 605 Trauma to the skin, subcutaneous tissue and breast without mcc
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. The physician notes puncture wounds to both hands.
2022 ICD-10-CM Diagnosis Code S61. 4: Open wound of hand.
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.
ICD-10-CM Code for Pain in hand and fingers M79. 64.
ICD-10 | Pain in left hand (M79. 642)
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.
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-.
S69.91XAS69. 91XA - Unspecified injury of right wrist, hand and finger(s) [initial encounter]. ICD-10-CM.
ICD-10-CM Code for Pain in joints of right hand M25. 541.
ICD-10-CM Code for Pain in arm, unspecified M79. 603.
Anxiety can cause muscles in the arm to become tense, and that tension could lead to pain. Although muscle tension — sometimes the result of anxiety — is the most likely source of arm pain, it is not the only possible cause. Heart attack, angina, and injury are other possible causes.
ICD-10 | Pain in right forearm (M79. 631)
645 - Pain in left finger(s). ICD-10-CM.
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:
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.
An initial encounter is a visit for the purpose of deciding what treatment is required to repair the wound. Subsequent equates to aftercare treatment. Sequela are complications or conditions that arise as a direct result of a wound. Type of wound — Open wounds include:
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.).
Penetrating: Caused by any object or force that breaks through the skin to the underlying organs or tissue. These wounds vary in size, shape, and presentation, depending on the cause.
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.
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.