Table 1
| ICD-10 Code | Definition |
|---|---|
| T81.3 | Disruption of operation wound, not elsewhere classified (includes: dehiscence/rupture of wound) |
•
Jul 1, 2015
What is the ICD-10 code for dehiscence of surgical wound?
ICD-10 code T81. 32 for Disruption of internal operation (surgical) wound, not elsewhere classified is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
How do you code wound dehiscence?
Use the following CPT codes when applicable or the unlisted code, if necessary:
- 12020 Treatment of superficial wound dehiscence; simple closure.
- 12021 Treatment of superficial wound dehiscence; with packing.
- 13160 Secondary closure of surgical wound or dehiscence, extensive or complicated.
Oct 10, 2010
What is the ICD-10 code for sternal wound?
Unspecified open wound of unspecified front wall of thorax without penetration into thoracic cavity, initial encounter. S21. 109A 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 S21.
What is wound dehiscence?
Wound dehiscence (dih-HISS-ints) is a condition where a cut made during a surgical procedure separates or ruptures after it has been stitched back together.
What is the ICD-10 code for septicemia?
Septicemia – There is NO code for septicemia in ICD-10. Instead, you're directed to a combination 'A' code for sepsis to indicate the underlying infection, such A41. 9 (Sepsis, unspecified organism) for septicemia with no further detail.
What is the ICD-10 code for wound infection?
ICD-10-CM Code for Local infection of the skin and subcutaneous tissue, unspecified L08. 9.
What is the ICD-10 code for status post CABG?
ICD-10-CM Code for Atherosclerosis of coronary artery bypass graft(s) without angina pectoris I25. 810.
What causes sternal nonunion?
Sternal nonunion is a rare, potentially disabling complication, which occurs after a sternotomy or a sternal fracture [1]. The vast majority of sternal nonunions are longitudinal and result from healing disturbances after a median sternotomy.Dec 6, 2021
What is the meaning of burst abdomen?
Burst abdomen is defined as post-operative separation of abdominal musculo-aponeurotic layers. The study aims to find etiological factors of burst abdomen in hospitalised patients ,evaluate current management methods and to compare conservative and operative approach with respect to complication and outcomes.
What is dehiscence and evisceration?
Dehiscence is secondary to technical failure of sutures, shear forces from tension, or fascial necrosis from infection and/or ischemia (2). Evisceration is the uncontrolled exteriorization of intraabdominal contents through the dehisced surgical wound outside of the abdominal cavity.
How is wound dehiscence diagnosed?
The surgeon will examine the wound. If there are signs of an infection the following may be done: Sample of fluids from the wound will be tested for infection. Blood tests—for signs that the body is fighting an infection.
...
Diagnosis
...
Diagnosis
- X-ray.
- Ultrasound.
- CT scan.
Is wound dehiscence and infection?
Wound dehiscence occurs when a surgical incision reopens either internally or externally. It's also known simply as dehiscence. Although this complication can occur after any surgery, it tends to happen most often following abdominal or cardiothoracic procedures. It's commonly associated with a surgical site infection.Dec 19, 2019
When will the ICD-10 T81.32XD be released?
The 2022 edition of ICD-10-CM T81.32XD became effective on October 1, 2021.
What is the secondary code for Chapter 20?
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. Type 1 Excludes.
When will the ICD-10 T81.31XA be released?
The 2022 edition of ICD-10-CM T81.31XA became effective on October 1, 2021.
What is the secondary code for Chapter 20?
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. Type 1 Excludes.
What is sternal wound infection?
Sternal wound infection (SWI) following coronary artery bypass grafting (CABG) is a challenging complication of the median sternotomy surgical approach. A comprehensive definition of SWI is described by El Oakley and Wright. 1 They describe mediastinal wound infection as “clinical or microbiological evidence of infected presternal tissue and sternal osteomyelitis with or without mediastinal sepsis and with or without unstable sternum.” 2 The incidence of SWI reported in the literature varies, generally ranging from 0.4 to 4 percent. 3-13 Despite being a relatively infrequent event, SWI following median sternotomy carries a significant risk of morbidity and mortality and is a potentially important indicator of care quality and patient safety. Defining which ICD codes accurately identify SWI cases in large administrative databases is helpful for tracking quality of care and monitoring interventions aimed at improving complication rates and patient safety.
What is the ICd 9 code for a SWI?
Hebden describes using ICD-9-CM coding for the identification of SWI cases. 32 The ICD-9-CM code 998.59 was used to identify deep SWI cases, and the authors report 100 percent sensitivity and 98 percent specificity using this code. Huang et al. used ICD-9-CM codes through Medicare claims to track surgical site infections following CABG. 33 They report that a post-CABG surgical site infection was confirmed with chart review 40 percent of the time when cases were identified as having an infection using ICD-9-CM codes. This finding is comparable to the PPV we report using ICD-10 codes (35.7 percent using T81.3 or T81.4). We acknowledge that the lower PPV in the study by Huang et al. was due to the inclusion of a much larger set of diagnosis codes than used in this study. We feel the results described in our work serve as an update to these studies for the ICD-10 coding system. As coding practices may vary, the use of ICD-10 codes to identify SWI cases should not be used as a safety indicator unless the definition is validated with chart review. However, monitoring the incidence of SWI in the same hospital is still a useful exercise because it can identify trends and can be important in patient safety. The proposed definition also offers clinicians and researchers a method of identifying possible cases of SWI (and subtype deep SWI) with reasonable accuracy that is comparable to methods previously described for ICD-9 coding (above).
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