Complete ICD-10-CM coding and documentation guide for icd-10 coding for infection of surgical wound includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Infection of Surgical Wound
Use ICD-10 code T81.41XA for infection following a procedure, superficial incisional site, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Methicillin susceptible Staphylococcus aureus infection
Use to specify the causative organism when known.
Methicillin resistant Staphylococcus aureus infection
Use to specify the causative organism when known.
Severe sepsis
Use when sepsis criteria are met following the infection.
The ICD-10 code for a surgical wound infection depends on the depth: T81.41XA for superficial, T81.42XA for deep, and T81.43XA for organ/space infections.
Document the infection's location, depth, type of drainage, systemic signs, and causative organism. Ensure linkage to the surgical procedure is clear.