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.
Coding of a sequela requires reporting of the condition or nature of the sequela sequenced first, followed by the sequela (7th character "S") code. Examples of sequela (7th character "S") diagnosis codes included in this policy: M48. 40XS (Fatigue fracture of vertebra, site unspecified, sequela of fracture)
A sequela code is for complications or conditions that arise as a direct result of a condition or injury. Examples include joint contracture after a tendon injury, hemiplegia after a stroke or scar formation following a burn.
Coding for Open Wounds. An open wound is an injury that causes a break in the skin or mucous membrane. In ICD-9-CM, open wounds are classified to categories 870 to 897.
A sequela (formerly known as “late effects”) is a residual or produced condition that is a result of a past illness or injury. This condition may be apparent in the early stages following an acute phase of an illness or may appear later.
Example 2: A subsequent encounter (character “D”) describes an episode of care during which the patient receives routine care for her or his condition during the healing or recovery phase.
For example, if you have rheumatic heart disease, your doctor might have made a note in your medical record that the condition is the sequelae of a case of rheumatic fever that you had as a child.
A typical sequela is a chronic complication of an acute condition—in other words, a long-term effect of a temporary disease or injury—which follows immediately from the condition. Sequelae differ from late effects, which can appear long after—even several decades after—the original condition has resolved.
What is the sequencing order when coding a sequela (late effect)? The residual condition is coded first, and the code(s) for the cause of the late effect are coded as secondary.
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-.
Codes 97605 and 97606 are used for placement of a non-disposable wound vac device, while codes 97607 and 97608 are used if the wound vac is disposable.
A penetrating head injury, or open head injury, is a head injury in which the dura mater, the outer layer of the meninges, is breached. Penetrating injury can be caused by high-velocity projectiles or objects of lower velocity such as knives, or bone fragments from a skull fracture that are driven into the brain.
DRG Group #604-605 - Trauma to the skin, subcut tissue and breast with MCC.
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 S01.90XS and a single ICD9 code, 906.0 is an approximate match for comparison and conversion purposes.
DRG Group #604-605 - Trauma to the skin, subcut tissue and breast with MCC.
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 S11.90XS and a single ICD9 code, 906.0 is an approximate match for comparison and conversion purposes.