ICD-10 Coding for Above-Knee Amputation(Z89.61-, 0Y6M0Z1)
Complete ICD-10-CM coding and documentation guide for Above-Knee Amputation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Above-Knee Amputation
Z89.61-Z89.619Primary Range
Acquired absence of leg above knee
This range covers the acquired absence of the leg above the knee, which is the primary condition post-amputation.
Detachment, Lower Extremity, Upper Leg, High, Open
This code is used for the surgical procedure of above-knee amputation.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z89.61- | Acquired absence of leg above knee | Use for documenting the status of a patient post above-knee amputation. |
|
| 0Y6M0Z1 | Detachment, Lower Extremity, Upper Leg, High, Open | Use for the surgical procedure of above-knee amputation. |
|
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 above-knee amputation
Essential facts and insights about Above-Knee Amputation
Primary ICD-10-CM Codes for amputation above knee
Decision Criteria
clinical Criteria
- Patient has undergone surgical removal of the leg above the knee.
Applicable To
- Post-surgical absence of leg above knee
Excludes
- Congenital absence of limb (Q71.3)
Clinical Validation Requirements
- Documented surgical history of above-knee amputation
- Residual limb assessment
Code-Specific Risks
- Ensure laterality is specified to avoid unspecified coding.
Coding Notes
- Ensure documentation includes specific anatomical landmarks and laterality.
0Y6M0Z1 - Detachment, Lower Extremity, Upper Leg, High, Open
Use for the surgical procedure of above-knee amputation.
Applicable To
- Surgical amputation of the upper leg at the proximal femur
Excludes
- Hip disarticulation (0Y6N0Z1)
Clinical Validation Requirements
- Operative report detailing the level of amputation
- Intraoperative confirmation of viable margins
Coding Notes
Ensure documentation specifies the level of detachment as high, mid, or low.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Atherosclerosis with gangrene
I70.23-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Above-Knee Amputation to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z89.61-.
Impact
Clinical: Ambiguity in patient records., Regulatory: Potential for audit discrepancies., Financial: Delayed or denied claims.
Mitigation Strategy
Standardize documentation templates to include laterality., Educate staff on the importance of complete documentation.
Impact
Reimbursement: Incorrect DRG assignment may result in improper reimbursement., Compliance: Misrepresentation of surgical procedure can lead to compliance issues., Data Quality: Inaccurate data affects clinical records and research.
Mitigation Strategy
Verify the operative report to ensure the correct level of amputation is coded.
Impact
Coding without specifying laterality increases audit risk.
Mitigation Strategy
Implement mandatory fields for laterality in EHR systems.
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 Above-Knee Amputation, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Above-Knee Amputation
Use these documentation templates to ensure complete and accurate documentation for Above-Knee Amputation. These templates include all required elements for proper coding and billing.
Post-operative documentation for AKA
Specialty: Orthopedic SurgeryRequired Elements
- Anatomical landmarks
- Laterality
- Surgical technique
- Post-operative plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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