ICD-10: S71.109D. Short Description: Unspecified open wound, unspecified thigh, subs encntr. Long Description: Unspecified open wound, unspecified thigh, subsequent encounter. Version 2019 of the ICD-10-CM diagnosis code S71.109D.
Keywords
Wound Care (CPT Codes 97597, 97598 and 11042-11047) 1. Active wound care procedures are performed to remove devitalized and/or necrotic tissue to promote healing. Debridement is the removal of foreign material and/or devitalized or contaminated tissue from or adjacent to a traumatic or infected wound until surrounding healthy tissue is exposed.
The new codes are for describing the infusion of tixagevimab and cilgavimab monoclonal antibody (code XW023X7), and the infusion of other new technology monoclonal antibody (code XW023Y7).
The ICD-10-CM is a catalog of diagnosis codes used by medical professionals for medical coding and reporting in health care settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.
This article addresses the CPT/HCPCS and ICD-10 codes associated with L37228 Wound Care policy.
998.83 - Non-healing surgical wound | ICD-10-CM.
ICD-10 Code for Disruption of external operation (surgical) wound, not elsewhere classified, initial encounter- T81. 31XA- Codify by AAPC.
ICD-10 Code for Local infection of the skin and subcutaneous tissue, unspecified- L08. 9- Codify by AAPC.
One 97610 service per day is allowable for a qualifying wound. CPT Code 97610 is not separately reportable for treatment of the same wound on the same day as other active wound care management CPT codes (97597-97606) or wound debridement CPT codes (e.g., CPT codes 11042-11047, 97597, 97598).
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. Partial dehiscence means that the edges of an incision have pulled apart in one or more small areas.
ICD-10 Code for Infection following a procedure- T81. 4- Codify by AAPC.
Postoperative wound infection is classified to ICD-9-CM code 998.59, Other postoperative infection. Code 998.59 also includes postoperative intra-abdominal abscess, postoperative stitch abscess, postoperative subphrenic abscess, postoperative wound abscess, and postoperative septicemia.
ICD-10-CM Code for Disorder of the skin and subcutaneous tissue, unspecified L98. 9.
9: Soft tissue disorder, unspecified.
Z48. 0 - Encounter for attention to dressings, sutures and drains | ICD-10-CM.
Dehiscence is a partial or total separation of previously approximated wound edges, due to a failure of proper wound healing. This scenario typically occurs 5 to 8 days following surgery when healing is still in the early stages.
Postoperative wound infection is classified to ICD-9-CM code 998.59, Other postoperative infection. Code 998.59 also includes postoperative intra-abdominal abscess, postoperative stitch abscess, postoperative subphrenic abscess, postoperative wound abscess, and postoperative septicemia.
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.
Wound dehiscence under the ICD-10-CM is coded T81. 3 which exclusively pertains to disruption of a wound not elsewhere classified. The purpose of this distinction is to rule out other potential wound-related complications that are categorized elsewhere in the ICD-10-CM.
The use of an “unspecified” ICD-10-CM code normally indicates that the documentation did not contain the information that was necessary to select the appropriate specific code.
ICD-10-CM coding for a diabetic foot ulcer requires multiple ICD-10-CM codes. One of them is an L97- code. The 6th character of the L97- ICD-10-CM codes indicates the depth of the ulcer. If a patient had a left plantar heel diabetic foot ulcer whose deepest depth of tissue exposed was subcutaneous tissue, the L97- code options would include:
Incorrect ICD-10-CM coding can be problematic in the case of an audit performed by a third-party payer or representative. If the documentation specified what it should, but the ICD-10-CM code selected indicates this specification was not present, a case for incorrect coding could be made.
Avoid the use of “unspecified” ICD-10-CM codes. When caring for wounds, always document laterality, body part involved, and wound depth and choose corresponding ICD-10-CM codes that specify laterality, body part involved and wound depth.