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Home/Diagnosis/ICD-10 Coding for Wounds

ICD-10 Coding for Wounds

S31.831A
T81.31xA

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

Also Known as:
Open Wounds
Lacerations
Abrasions
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Key Information: ICD-10 Coding for Wounds

Essential facts and insights about ICD-10 Coding for Wounds

Use ICD-10 code S31.831A for puncture wound without foreign body, right lower leg, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Puncture wound without foreign body, right lower leg, initial encounter

Billable Code
S31.831A
Billable

Diagnostic Criteria

  • • Presence of a puncture wound without foreign body confirmed by imaging

Applicable To

  • • Puncture wound of right lower leg

Important Notes

  • • Ensure documentation specifies the absence of foreign body.

Disruption of external operation (surgical) wound, not elsewhere classified, initial encounter

Billable Code
T81.31xA
Billable

Diagnostic Criteria

  • • Clinical evidence of wound dehiscence
  • • Surgical history

Applicable To

  • • Wound dehiscence

Important Notes

  • • Ensure linkage to the surgical procedure is documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

T81.41xA

Infection following a procedure, initial encounter

Use when there is an infection following a surgical procedure related to the wound.

Frequently Asked Questions

What is the ICD-10 code for a puncture wound?

The ICD-10 code for a puncture wound without foreign body on the right lower leg is S31.831A.

How do you document a wound for ICD-10 coding?

Document the wound type, location, size, tissue type, and any exudate. Use standardized terminology for accurate ICD-10 coding.

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