Short description: Insect bite (nonvenomous) of left shoulder, init encntr The 2022 edition of ICD-10-CM S40.262A became effective on October 1, 2021.
Someone helpful has changed the ICD-10 definition to include the word tick, although the ICD-10 definition is “Bitten or stung by nonvenomous insect and other nonvenomous arthropods, initial encounter.” A tick is an arthropod. But, the problem with that is, W57.xxxA is an external cause code.
Open bite of right shoulder, initial encounter. S41.051A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM S41.051A became effective on October 1, 2018.
2018/2019 ICD-10-CM Diagnosis Code S30.860A. Insect bite (nonvenomous) of lower back and pelvis, initial encounter. S30.860A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The first code should be an S code that describes the location of the bite, such as S70. 362A “Insect bite (nonvenomous), left thigh, initial encounter.”
860A – Insect Bite (Nonvenomous) of Lower Back and Pelvis, Initial Encounter.
919.4 - Insect bite, nonvenomous, of other, multiple, and unspecified sites, without mention of infection | ICD-10-CM.
S46. 912A - Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm [initial encounter]. ICD-10-CM.
9: Fever, unspecified.
Code W57. XXX- (A, D, or S), bitten or stung by nonvenomous insect and other nonvenomous arthropods, is an external cause code used to describe the cause of an injury or other health condition.
This time around, “I would code the removal as 10120 [Incision and removal of foreign body, subcutaneous tissues; simple],” says Charles, “as the provider documented that an incision was made to remove the tick.
Ticks are rarely considered as venomous animals despite that tick saliva contains several protein families present in venomous taxa and that many Ixodida genera can induce paralysis and other types of toxicoses.
ICD-10 code A69. 2 for Lyme disease is a medical classification as listed by WHO under the range - Certain infectious and parasitic diseases .
ICD-10 code S46. 912A for Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
S43. 402A - Unspecified sprain of left shoulder joint [initial encounter] | ICD-10-CM.
ICD-10 Code for Pain in unspecified shoulder- M25. 519- Codify by AAPC.
A tick is an arthropod. But, the problem with that is, W57.xxxA is an external cause code.
So, it isn’t that it is difficult to code for a tick bite, it’s that there are two steps and the super easy, quick search leads providers astray.
A tick is an arthropod. But, the problem with that is, W57.xxxA is an external cause code. It may not be submitted in the first position on the claim form, and often it is the only code selected by the provider.