ICD-10 Coding for Bruise(S60.021A, R23.3)
Complete ICD-10-CM coding and documentation guide for Bruise. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bruise
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S60.021A | Contusion of right index finger, initial encounter | Use when a patient presents with a bruise on the right index finger due to trauma, during the initial encounter. |
|
| R23.3 | Spontaneous ecchymoses | Use when a patient presents with bruising without a history of trauma. |
|
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 bruise
Essential facts and insights about Bruise
Primary ICD-10-CM Codes for bruise
Decision Criteria
clinical Criteria
- Presence of bruise on right index finger due to trauma
documentation Criteria
- Documented laterality and encounter type
Applicable To
- Bruise of right index finger
Excludes
- Fracture of right index finger
Clinical Validation Requirements
- Physical examination showing bruise
- Patient history confirming trauma
Code-Specific Risks
- Incorrect laterality documentation
- Omitting encounter type
Coding Notes
- Ensure complete documentation of the injury mechanism and encounter type.
R23.3 - Spontaneous ecchymoses
Use when a patient presents with bruising without a history of trauma.
Applicable To
- Non-traumatic bruising
Excludes
- Traumatic bruises
Clinical Validation Requirements
- Absence of trauma history
- Laboratory tests confirming bleeding disorder
Coding Notes
Ensure documentation of absence of trauma and any underlying conditions.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Fall on same level from slipping, tripping, and stumbling
W01.198ADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Bruise to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S60.021A.
Impact
Clinical: Incomplete clinical documentation., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Use checklists for documentation., Regular training sessions for coding staff.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use S00-S99 series with external cause codes for traumatic bruises.
Impact
Increased risk of audits when unspecified codes are used.
Mitigation Strategy
Use specific codes with complete documentation.
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 Bruise, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bruise
Use these documentation templates to ensure complete and accurate documentation for Bruise. These templates include all required elements for proper coding and billing.
Initial encounter for traumatic bruise
Specialty: Emergency MedicineRequired Elements
- Location and size of bruise
- Mechanism of injury
- Laterality
- Encounter type
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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