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Home/Diagnosis/ICD-10 Coding for Surgical Wound

ICD-10 Coding for Surgical Wound

T81.30XA
T81.4XXA

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

Also Known as:
Postoperative Wound
Surgical Incision
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Key Information: ICD-10 Coding for Surgical Wound

Essential facts and insights about ICD-10 Coding for Surgical Wound

Use ICD-10 code T81.30XA for disruption of wound, unspecified, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Disruption of wound, unspecified, initial encounter

Billable Code
T81.30XA
Billable

Diagnostic Criteria

clinical:
  • • Presence of wound separation post-surgery

Applicable To

  • • Wound dehiscence

Important Notes

  • • Ensure documentation specifies the surgical nature of the wound.

Infection following a procedure, initial encounter

Non-Billable
T81.4XXA
Non-Billable

Diagnostic Criteria

clinical:
  • • Positive wound culture
  • • Clinical signs of infection (e.g., erythema, purulent drainage)

Applicable To

  • • Postoperative wound infection

Important Notes

  • • Document the type of infection and organism involved.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z48.01

Encounter for change or removal of surgical wound dressing

Use for routine dressing changes post-surgery.

B95.2

Staphylococcus aureus as the cause of diseases classified elsewhere

Use to specify the organism causing the infection.

Frequently Asked Questions

What is the ICD-10 code for surgical wound infection?

The ICD-10 code for a surgical wound infection is T81.4XXA, used for initial encounters with confirmed infections post-surgery.

How do you code a surgical wound disruption?

Use ICD-10 code T81.30XA for initial encounters of surgical wound disruption without specific details.

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