icd 10 code for sternal wound

by Katharina Beatty III 9 min read

Unspecified open wound of unspecified front wall of thorax without penetration into thoracic cavity
thoracic cavity
The thoracic cavity (or chest cavity) is the chamber of the body of vertebrates that is protected by the thoracic wall (rib cage and associated skin, muscle, and fascia). The central compartment of the thoracic cavity is the mediastinum.
https://en.wikipedia.org › wiki › 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 the ICD 10 code for infection wound?

Local infection of the skin and subcutaneous tissue, unspecified

  • L08.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Local infection of the skin and subcutaneous tissue, unsp
  • The 2022 edition of ICD-10-CM L08.9 became effective on October 1, 2021.

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What is the diagnosis code for wound infection?

wound infection T81.49 Infection, infected, infective (opportunistic) B99.9 postoperative wound T81.49 surgical site specified NEC T81.49 operation wound T81.49 Sepsis (generalized) (unspecified organism) A41.9 localized - code to specific localized infection in operation wound T81.49

What are the differential diagnoses for wound infection?

  • Acute Glomerulonephritis
  • Acute Rheumatic Fever
  • Bronchopulmonary Dysplasia (BPD)
  • Congenital Heart Disease
  • Cryptorchidism
  • Diabetes Mellitus
  • Fracture
  • Geriatric Nursing
  • Hydrocephalus
  • Nephrotic Syndrome

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Does wound infection cause pain?

The signs and symptoms of wound infection can include increasing pain, swelling, and redness around the affected area. A person may be able to treat a mild infection of a small wound at home by recleaning and redressing the wound.

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

32.

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

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

What is ICD-10 code for left breast wound?

ICD-10 Code for Unspecified open wound of left breast- S21. 002- Codify by AAPC.

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 .

What is the ICD 10 code for surgical aftercare?

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 .

How do you code a non healing surgical wound?

998.83 - Non-healing surgical wound. ICD-10-CM.

What is it called when an incision opens?

Wound dehiscence is a surgery complication where the incision, a cut made during a surgical procedure, reopens. It is sometimes called wound breakdown, wound disruption, or wound separation.

What is sternal wound 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 a wound in ICD-10?

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.

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.

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.

The ICD code S21 is used to code Chest injury

A chest injury is any form of physical injury to the chest including the ribs, heart and lungs. Chest injuries account for 25% of all deaths from traumatic injury. Typically chest injuries are caused by blunt mechanisms such as motor vehicle collisions or penetrating mechanisms such as stabbings.

MS-DRG Mapping

DRG Group #604-605 - Trauma to the skin, subcut tissue and breast with MCC.

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code S21.109A and a single ICD9 code, 875.0 is an approximate match for comparison and conversion purposes.

Abstract

  • Background:Sternal wound infection (SWI) in patients undergoing coronary artery bypass grafting (CABG) can carry a significant risk of morbidity and mortality. The objective of this work is to describe the methods used to identify cases of SWI in an administrative database and to demonstrate the effectiveness of using an International Classification of Diseases, Tenth Revisi…
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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.1 They describe mediastinal wound infection as “clinical or microbiological evidence of infected presternal tissue and sternal osteomyelitis with or without …
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Methods

  • Study Population
    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.
  • Data Acquisition
    Demographic and clinical data on all patients undergoing procedures are gathered and managed by a provincial database research group called APPROACH (Alberta Provincial Project for Outcome Assessment in Coronary Heart Disease).18 In addition, hospital discharge abstracts fo…
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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. Using previous work with ICD-9 coding as a guide, the co...
See more on library.ahima.org

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. Using random sampling without replacement, 100 patient charts …
See more on library.ahima.org

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. One list (not shown) was an “all-inclusive” list of more than 20 ICD-10 codes that could possibly describe SWI, similar to that described by Huang et al.30 The o…
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Acknowledgments

  • This study was funded through the University of Calgary Surgical Research Development Fund. APPROACH (Alberta Provincial Project for Outcome Assessment in Coronary Heart Disease) was initially funded with a grant from the W. Garfield Weston Foundation. Ongoing operation is funded by the Provincewide Services Committee of Alberta Health and Wellness and the following indus…
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