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Home/Diagnosis/ICD-10 Coding for Right Leg Wound

ICD-10 Coding for Right Leg Wound

S81.801A

Complete ICD-10-CM coding and documentation guide for icd-10 coding for right leg wound includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Right Lower Leg Laceration
Right Leg Open Wound
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Key Information: ICD-10 Coding for Right Leg Wound

Essential facts and insights about ICD-10 Coding for Right Leg Wound

Use ICD-10 code S81.801A for unspecified open wound, right lower leg, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unspecified open wound, right lower leg, initial encounter

Billable Code
S81.801A
Billable

Diagnostic Criteria

clinical:
  • • Presence of a traumatic wound on the right lower leg
documentation:
  • • Detailed wound description including location and size

Applicable To

  • • Laceration without foreign body
  • • Traumatic wound

Important Notes

  • • Ensure documentation specifies the wound's location, size, and characteristics to avoid unspecified coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

B95.2

Staphylococcus infection as the cause of diseases classified elsewhere

Use when there is a documented infection with culture results.

Frequently Asked Questions

What is the ICD-10 code for a right leg wound?

The ICD-10 code for an unspecified open wound of the right lower leg, initial encounter, is S81.801A.

How do you code a right leg wound with infection?

For a right leg wound with infection, use S81.801A for the wound and an additional code like B95.2 for the infection.

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