Complete ICD-10-CM coding and documentation guide for icd-10 coding for bilateral lower extremity wounds includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Bilateral Lower Extremity Wounds
Use ICD-10 code S81.801A for open wound of right lower leg, initial encounter, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Diabetic polyneuropathy
Use when diabetes is a contributing factor to wound development.
Bilateral lower extremity wounds are coded using S81.801A for the right leg and S81.802A for the left leg, with appropriate laterality modifiers.
Documentation must include wound size, depth, laterality, and traumatic cause to ensure accurate coding and billing.