icd 10 code for sternal dehiscence complex open wound chest

by Angelica Hand DVM 3 min read

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.

Full Answer

What is the ICD 10 code for wound dehiscence?

Disruption of wound, unspecified, initial encounter. Dehiscence of corneal transplant wound; Dehiscence of fascia; Dehiscence of skin; Dehiscence of wound; Separation of wound, superficial; Superficial wound dehiscence; Wound dehiscence. ICD-10-CM Diagnosis Code T81.30XA.

What is the ICD 10 code for open wound of cheek?

Open wound of cheek and temporomandibular area. The 2019 edition of ICD-10-CM S01.4 became effective on October 1, 2018. This is the American ICD-10-CM version of S01.4 - other international versions of ICD-10 S01.4 may differ. Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury.

What is the ICD 10 code for open wound of thorax?

Open wound of thorax S21- >. ICD-10-CM Diagnosis Code S22.3 ICD-10-CM Diagnosis Code S22.4 ICD-10-CM Diagnosis Code S24.0 ICD-10-CM Diagnosis Code S24.1 ICD-10-CM Diagnosis Code S27.3 ICD-10-CM Diagnosis Code S27.1 ICD-10-CM Diagnosis Code S27.0 A type 1 excludes note is a pure excludes. It means "not coded here".

What is the ICD 10 code for open wound?

Open wound of chest wall ICD-10-CM S21.109A 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

What is the ICD-10 code for sternal wound dehiscence?

Table 1ICD-10 CodeDefinitionT81.3Disruption of operation wound, not elsewhere classified (includes: dehiscence/rupture of wound)5 more rows•Jul 1, 2015

What is the ICD-10 code for surgical wound dehiscence?

T81. 31 - Disruption of external operation (surgical) wound, not elsewhere classified. ICD-10-CM.

What is ICD-10 code T81 89XA?

ICD-10 code T81. 89XA for Other complications of procedures, not elsewhere classified, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .

What is the ICD-10 code for non-healing surgical wound?

998.83 - Non-healing surgical wound is a topic covered in the ICD-10-CM.

What is sternal dehiscence?

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.

How do you code wound dehiscence?

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.

What is the ICD-10 code for open wound?

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.

What is the ICD-10 code for post op wound?

Disruption of external operation (surgical) wound, not elsewhere classified, initial encounter. T81. 31XA 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 T81.

What is the ICD-10 code for surgical wound?

ICD-10 Code for Disruption of external operation (surgical) wound, not elsewhere classified, initial encounter- T81. 31XA- Codify by AAPC.

What is disruption of surgical wound?

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.

How do you code a postoperative wound infection?

Postoperative wound infection is classified to ICD-9-CM code 998.59, Other postoperative infection.

What is ICD-10 code for wound infection?

ICD-10 Code for Local infection of the skin and subcutaneous tissue, unspecified- L08. 9- Codify by AAPC.

What is the ICd 10 code for a wound in the thorax?

Open wound of front wall of thorax with penetration into thoracic cavity 1 S00-T88#N#2021 ICD-10-CM Range S00-T88#N#Injury, poisoning and certain other consequences of external causes#N#Note#N#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#N#Type 1 Excludes#N#birth trauma ( P10-P15)#N#obstetric trauma ( O70 - O71)#N#Use Additional#N#code to identify any retained foreign body, if applicable ( Z18.-)#N#Injury, poisoning and certain other consequences of external causes 2 S20-S29#N#2021 ICD-10-CM Range S20-S29#N#Injuries to the thorax#N#Includes#N#injuries of breast#N#injuries of chest (wall)#N#injuries of interscapular area#N#Type 2 Excludes#N#burns and corrosions ( T20 - T32)#N#effects of foreign body in bronchus ( T17.5)#N#effects of foreign body in esophagus ( T18.1)#N#effects of foreign body in lung ( T17.8)#N#effects of foreign body in trachea ( T17.4)#N#frostbite ( T33-T34)#N#injuries of axilla#N#injuries of clavicle#N#injuries of scapular region#N#injuries of shoulder#N#insect bite or sting, venomous ( T63.4)#N#Injuries to the thorax 3 S21#N#ICD-10-CM Diagnosis Code S21#N#Open wound of thorax#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Code Also#N#any associated injury, such as:#N#injury of heart ( S26.-)#N#injury of intrathoracic organs ( S27.-)#N#rib fracture ( S22.3-, S22.4-)#N#spinal cord injury ( S24.0-, S24.1-)#N#traumatic hemopneumothorax ( S27.3)#N#traumatic hemothorax ( S27.1)#N#traumatic pneumothorax ( S27.0)#N#wound infection#N#Type 1 Excludes#N#traumatic amputation (partial) of thorax ( S28.1)#N#Open wound of thorax

What is S21.3 in a thoracic cavity?

Open wound of front wall of thorax with penetration into thoracic cavity. S21.3 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. Short description: Open wound of front wall of thorax w penet thoracic cavity.

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.

Abstract

Background: Sternal wound infection (SWI) in patients undergoing coronary artery bypass grafting (CABG) can carry a significant risk of morbidity and mortality.

Background

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.

Methods

This study examined a retrospective cohort of all Alberta patients undergoing CABG between April 1, 2002, and November 30, 2009. Cardiac procedures are performed at two regional cardiac centers in the province.

Definition of Sternal Wound Infection

In 2002, our healthcare system transitioned from ICD-9 coding to ICD-10 coding for diagnostic coding of diseases. A committee of cardiac care researchers, internal medicine physicians, plastic surgeons, and cardiac surgeons met to identify which ICD-10 codes best described SWI following CABG.

Results

A total of 8,704 patients in Alberta underwent CABG. Of these patients, 6,258 (71.9 percent) had hospital discharge data up to one year following CABG. A total of 2,820 patients (45.1 percent) were from the regional site selected for chart review, and of those, 264 (9.4 percent) were coded as having a postoperative SWI.

Discussion

As described in the methods section, the ICD-10 codes in this study were selected on the basis of a committee discussion of cardiovascular researchers, plastic surgeons, and cardiac surgeons. Two lists of codes were created.

Acknowledgments

This study was funded through the University of Calgary Surgical Research Development Fund.