Complete ICD-10-CM coding and documentation guide for icd-10 coding for sternal wound infection includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Sternal Wound Infection
Use ICD-10 code T81.4xx for infection following a procedure, not elsewhere classified, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Severe sepsis
Use if severe sepsis or septic shock is present.
Type 2 diabetes mellitus without complications
Use if diabetes is a contributing factor.
Other forms of candidiasis
Use if Candida infection is present.
The ICD-10 code for sternal wound infection is T81.4xx, used for postprocedural infections involving the sternum.
Document the wound size, depth, exudate, culture results, and imaging findings to ensure accurate coding and management.