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ICD-10 Coding for Contusion of Left Hand(S60.222A)

Complete ICD-10-CM coding and documentation guide for Contusion of Left Hand. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Left Hand BruiseLeft Hand Injury

Related ICD-10 Code Ranges

Complete code families applicable to Contusion of Left Hand

S60.2Primary Range

Contusion of wrist and hand

This range includes codes for contusions of the wrist and hand, specifically for the left hand.

Contusion of finger(s) without nail damage

These ranges are used for finger contusions and should not be used for hand contusions.

Key Information: ICD-10 code for left hand contusion

Essential facts and insights about Contusion of Left Hand

The ICD-10 code for a contusion of the left hand, initial encounter, is S60.222A.

Primary ICD-10-CM Code for contusion of left hand

Contusion of left hand, initial encounter
Billable Code

Decision Criteria

clinical Criteria

  • Presence of ecchymosis and tenderness on the left hand

coding Criteria

  • Initial encounter for left hand contusion

documentation Criteria

  • Specific mention of 'contusion' and 'left hand'

Applicable To

  • Bruise of left hand
  • Ecchymosis of left hand

Excludes

  • Contusion of finger(s) without nail damage (S60.0-S60.1)

Clinical Validation Requirements

  • Physical exam showing ecchymosis and tenderness
  • Absence of fracture on imaging

Code-Specific Risks

  • Confusion with finger contusions
  • Incorrect laterality coding

Coding Notes

  • Ensure documentation specifies 'contusion' and 'left hand' with encounter type.

Ancillary Codes

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

Striking against stationary object

W22.02XA
Use to specify the external cause of the contusion.

Activity during leisure time

Y93.D1
Use to specify the activity during which the injury occurred.

Differential Codes

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

Contusion of finger(s) without nail damage

S60.0-
Use when the injury is limited to the fingers.

Unspecified superficial injury of hand

S60.92-
Use only when documentation lacks specificity.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Contusion of Left Hand to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S60.222A.

Impact

Clinical: May lead to incorrect treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.

Mitigation Strategy

Always include laterality in documentation., Use templates that prompt for laterality.

Impact

Reimbursement: May lead to denied claims or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health records.

Mitigation Strategy

Always use S60.222A when documentation specifies left hand contusion.

Impact

Risk of using unspecified codes when specific codes are available.

Mitigation Strategy

Regular training on ICD-10 specificity requirements.

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 Contusion of Left Hand, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Contusion of Left Hand

Use these documentation templates to ensure complete and accurate documentation for Contusion of Left Hand. These templates include all required elements for proper coding and billing.

Initial encounter for left hand contusion

Specialty: Emergency Medicine

Required Elements

  • Mechanism of injury
  • Location and size of contusion
  • Tenderness and swelling
  • Imaging results if performed
  • Plan for follow-up

Example Documentation

Patient presents with a contusion on the left hand after hitting it against a door. Exam shows 3x2 cm ecchymosis on the dorsum, tender to palpation. X-ray negative for fracture. Plan: RICE protocol, follow-up PRN.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Left hand pain after fall.
Good Documentation Example
Contusion of left hand with 2x3 cm ecchymosis, tender to palpation, initial encounter.
Explanation
The good example specifies the condition, location, and encounter type, improving clarity and coding accuracy.

Need help with ICD-10 coding for Contusion of Left Hand? Ask your questions below.

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