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ICD-10 Coding for Abrasion(S90.81-, S50.81-, T14.01)

Complete ICD-10-CM coding and documentation guide for Abrasion. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

ScrapeGrazing

Related ICD-10 Code Ranges

Complete code families applicable to Abrasion

S00-S99Primary Range

Injuries to specific body parts

This range includes site-specific codes for abrasions, such as those on the foot or forearm.

Injury of unspecified body region

Used when the specific site of the abrasion is not documented.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
S90.81-Abrasion of footUse when documenting an abrasion specifically on the foot, with details on laterality.
  • Documentation of abrasion on the foot with laterality
  • Description of the abrasion's depth and size
S50.81-Abrasion of forearmUse when documenting an abrasion specifically on the forearm, with details on laterality.
  • Documentation of abrasion on the forearm with laterality
  • Description of the abrasion's depth and size
T14.01Abrasion, unspecifiedUse when the site of the abrasion is not documented.
  • Use only when the specific site of the abrasion cannot be determined.

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for abrasion

Essential facts and insights about Abrasion

The ICD-10 code for an abrasion varies by location: S90.81- for foot, S50.81- for forearm.

Primary ICD-10-CM Codes for abrasion

Abrasion of foot
Non-billable Code

Decision Criteria

documentation Criteria

  • Document the specific location and laterality of the abrasion.

Applicable To

  • Right foot abrasion
  • Left foot abrasion

Excludes

  • Laceration of foot
  • Contusion of foot

Clinical Validation Requirements

  • Documentation of abrasion on the foot with laterality
  • Description of the abrasion's depth and size

Code-Specific Risks

  • Risk of using unspecified laterality leading to incorrect coding

Coding Notes

  • Ensure laterality is documented to avoid unspecified codes.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Other specified local infections of the skin and subcutaneous tissue

L08.89
Use when the abrasion is infected and specify the organism.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Abrasion of knee

S80.01-
Use for abrasions specifically on the knee, not the foot.

Abrasion of shoulder

S40.01-
Use for abrasions specifically on the shoulder, not the forearm.

Abrasion of foot

S90.81-
Use when the abrasion is specifically on the foot.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Abrasion to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S90.81-.

Impact

Clinical: Inaccurate clinical records., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential claim denials or reduced reimbursement.

Mitigation Strategy

Use standardized templates that prompt for laterality., Educate staff on the importance of complete documentation.

Impact

Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of healthcare data.

Mitigation Strategy

Ensure documentation specifies the exact location and laterality of the abrasion.

Impact

High risk of audit due to lack of specificity in coding.

Mitigation Strategy

Ensure all clinical documentation includes specific site and laterality.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Abrasion, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Abrasion

Use these documentation templates to ensure complete and accurate documentation for Abrasion. These templates include all required elements for proper coding and billing.

Emergency Department Note for Abrasion

Specialty: Emergency Medicine

Required Elements

  • Location
  • Size
  • Depth
  • Exudate
  • Infection Signs
  • Mechanism
  • Treatment

Example Documentation

**Location**: Dorsal right forearm **Size**: 4 cm x 2 cm **Depth**: Superficial (epidermis only) **Exudate**: Scant serosanguinous **Infection Signs**: None (no erythema/warmth) **Mechanism**: "Fell onto gravel during soccer game" **Treatment**: Wound cleansed with saline; bacitracin applied

Examples: Poor vs. Good Documentation

Poor Documentation Example
Abrasion on arm
Good Documentation Example
3 cm superficial abrasion on volar left wrist with gravel particles, irrigated
Explanation
The good example provides specific details about the location, size, and treatment, which are necessary for accurate coding and billing.

Need help with ICD-10 coding for Abrasion? Ask your questions below.

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