Full Answer
The first three characters of an ICD-10 code designate the category of the diagnosis. In this instance, the letter “S” designates that the diagnosis relates to “Injuries, poisoning and certain other consequences of external causes related to single body regions.”
"D" (Subsequent encounter) - An encounter after the active phase of treatment and when the patient is receiving routine care for the injury during the period of healing or recovery. "S" (Sequela) - Complications that arise as a direct result of a condition.
Second solution – Use Z03.89 ICD 10 In such case, if the rule/condition is confirmed in the final impression we can code it as Primary dx, but if the rule/out condition is not confirmed then we have to report suspected or rule/out diagnosis ICD 10 code Z03. 89 as primary dx.
The ICD-10-CM is a morbidity classification published by the United States for classifying diagnoses and reason for visits in all health care settings. The ICD-10-CM is based on the ICD-10, the statistical classification of disease published by the World Health Organization (WHO).
The seventh character S, sequela, is for used for complications or conditions that arise as a direct result of a condition, such as scar formation following a burn (the scars are sequela of the burn).
As Rhonda Buckholtz, AAPC Vice President of Strategic Development, explains, “When the doctor sees the patient and develops his plan of care—that is active treatment. When the patient is following the plan—that is subsequent.
If you need to look up the ICD code for a particular diagnosis or confirm what an ICD code stands for, visit the Centers for Disease Control and Prevention (CDC) website to use their searchable database of the current ICD-10 codes.
The ICD-10-CM coding convention requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "Use Additional Code" note at the etiology code, and a "Code First" note at the manifestation code.
ICD-10-CM is a seven-character, alphanumeric code. Each code begins with a letter, and that letter is followed by two numbers. The first three characters of ICD-10-CM are the “category.” The category describes the general type of the injury or disease. The category is followed by a decimal point and the subcategory.
The ICD-10 manual begins with “ICD-10-CM Official Guidelines for Coding and Reporting” and is then divided into two main parts: first, the alphabetic index of terms with corresponding codes (subdivided into an index of diseases and injuries, an index of external causes, and tables of drugs and neoplasms) and second, ...
Another difference is the number of codes: ICD-10-CM has 68,000 codes, while ICD-10-PCS has 87,000 codes.
All I-10 codes start with a letter and can have as many as 7 characters. GEMs refers to mapping files that crosswalk ICD-9-CM to ICD-10-CM and ICD-10-CM to ICD-9-CM. In the Tabular List, italicized type is used to identify codes not sequenced as first-listed diagnosis.