icd code for wound dehiscence

by Russel Pouros 4 min read

2019 ICD-10-CM Diagnosis Code T81.31 Disruption of external operation (surgical) wound, not elsewhere classified Non-Billable/Non-Specific Code Applicable To Type 1 Excludes dehiscence of amputation stump ( T87.81) Clinical Information Pathologic process consisting of a partial or complete disruption of the layers of a surgical wound.

Wound dehiscence under the ICD-10
ICD-10
The International Classification of Diseases (ICD) is a globally used diagnostic tool for epidemiology, health management and clinical purposes. The ICD is maintained by the World Health Organization (WHO), which is the directing and coordinating authority for health within the United Nations System.
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-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.
Nov 27, 2018

Full Answer

What is the CPT code for wound dehiscence?

  • Non-penetrating wounds.
  • Scrapes or abrasions.
  • Cuts or lacerations.
  • Contusions.
  • Concussions.
  • Penetrating wounds.
  • Stab wounds.
  • Surgical wounds.

What diagnosis codes should be reported?

Codes for signs and symptoms that are not routinely associated with a definitive diagnosis should be reported, according to ICD-10-CM guidelines 1.B.4 and I.B.5. The rash is reported because it is not related or associated with croup. Look for Croup in the ICD-10-CM Alphabetic Index referring you to code J05.0.

What is the diagnosis code for edema?

Localized edema

  • R60.0 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 R60.0 became effective on October 1, 2021.
  • This is the American ICD-10-CM version of R60.0 - other international versions of ICD-10 R60.0 may differ.

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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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 surgical wound?

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

What is wound dehiscence?

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.

Is wound dehiscence a medical diagnosis?

An open wound is easily infected, and infection can lead to further separation. Complete wound dehiscence is a medical emergency, as it can lead to evisceration, where internal organs protrude through the wound.

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

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

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

2. A non-healing wound, such as an ulcer, is not coded with an injury code beginning with the letter S. Four common codes are L97-, “non-pressure ulcers”; L89-, “pressure ulcers”; I83-, “varicose veins with ulcers”; and I70.

What is an internal dehiscence?

Wound dehiscence occurs when a surgical incision reopens either internally or externally. It's also known simply as dehiscence. Although this complication can occur after any surgery, it tends to happen most often following abdominal or cardiothoracic procedures. It's commonly associated with a surgical site infection.

What is the difference between evisceration and dehiscence?

Dehiscence is secondary to technical failure of sutures, shear forces from tension, or fascial necrosis from infection and/or ischemia (2). Evisceration is the uncontrolled exteriorization of intraabdominal contents through the dehisced surgical wound outside of the abdominal cavity.

What is the postoperative splitting of a surgical wound called?

Wound dehiscence (dih-HISS-ints) is a condition where a cut made during a surgical procedure separates or ruptures after it has been stitched back together.

What does a nurse do for dehiscence?

To prevent dehiscence, teach patients to splint the surgical site when coughing, vomiting, or sneezing. An abdominal binder for those at risk for dehiscence may be helpful, but evidence supporting its use is still needed. Heavy lifting (10 lbs or more) should be avoided for 6 to 8 weeks after surgery.

What should a nurse do if a wound dehiscence?

Dehiscence and evisceration can be a life threatening emergency; do not leave the client immediately call for help and, using a clean, sterile towel or sterile saline dampened dressing, cover the wound. Under no circumstance should reinserting the organs be attempted.

What does dehiscence look like?

A dehisced wound can appear fully open – the tissue underneath is visible – or it can be partial, where just the top portion of the skin has torn open. The wound could be red around the wound margins, have drainage, or it could be bleeding or seeping, where only a thin trickle of blood is coming out.

What does dehiscence look like?

A dehisced wound can appear fully open – the tissue underneath is visible – or it can be partial, where just the top portion of the skin has torn open. The wound could be red around the wound margins, have drainage, or it could be bleeding or seeping, where only a thin trickle of blood is coming out.

What are the signs and symptoms of wound dehiscence?

What are the signs and symptoms of wound dehiscence?A feeling that the wound is ripping apart or giving way.Leaking pink or yellow fluid from the wound.Signs of infection at the wound site, such as yellow or green pus, swelling, redness, or warmth.

What type of patient experiences the most dehiscence of wounds?

For example, because the skin of patients over the age of 65 is more fragile than the skin of their younger counterparts, they are more likely to develop dehiscence. Along with age, sex plays a role: men experience dehiscence at higher rates than women.

Who is at risk for wound dehiscence?

Risk factors in the unadjusted analysis for wound dehiscence were wound infection, male gender, BMI 30–35, cardiovascular disease and chronic obstructive pulmonary disease (COPD). The risk factors for incisional hernia were wound infection and BMI 25–30, BMI 30–35 and BMI >35 (Table 2).