Complete ICD-10-CM coding and documentation guide for icd-10 coding for open wound of the right lower leg includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Open Wound of the Right Lower Leg
Use ICD-10 code S81.801A for unspecified open wound, right lower leg, initial encounter, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Retained foreign body fragments
Use when foreign body fragments are present in the wound.
The ICD-10 code for an unspecified open wound of the right lower leg, initial encounter, is S81.801A. For a laceration without foreign body, use S81.812A.
Use S81.801A when the type of open wound on the right lower leg is not specified in the documentation.