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ICD-10 Coding for Multiple Abrasions(S60.81XA, S80.81XA)

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

Also known as:

Multiple Superficial InjuriesMultiple Skin Abrasions

Related ICD-10 Code Ranges

Complete code families applicable to Multiple Abrasions

S00-S99Primary Range

Injuries to specific body regions

This range includes codes for abrasions specific to different anatomical sites.

Superficial injury of unspecified body region

Used when documentation lacks specific anatomical details.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
S60.81XAAbrasion of wrist/hand, initial encounterUse when documenting an abrasion on the wrist or hand during the initial encounter.
  • Documentation of abrasion on wrist or hand
  • Initial encounter for treatment
S80.81XAAbrasion of lower leg, initial encounterUse when documenting an abrasion on the lower leg during the initial encounter.
  • Documentation of abrasion on lower leg
  • Initial encounter for treatment

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: How do you code multiple abrasions in ICD-10?

Essential facts and insights about Multiple Abrasions

Code each abrasion separately using site-specific codes like S60.81XA for wrist/hand and S80.81XA for lower leg. Ensure to document the exact location and encounter type.

Primary ICD-10-CM Codes for multiple abrasion

Abrasion of wrist/hand, initial encounter
Non-billable Code

Decision Criteria

clinical Criteria

  • Presence of abrasion on wrist or hand

documentation Criteria

  • Documented as initial encounter

Applicable To

  • Superficial injury of wrist
  • Superficial injury of hand

Excludes

  • Fracture of wrist
  • Fracture of hand

Clinical Validation Requirements

  • Documentation of abrasion on wrist or hand
  • Initial encounter for treatment

Code-Specific Risks

  • Ensure laterality is documented
  • Avoid using if a more severe injury is present

Coding Notes

  • Ensure the 7th character is used to indicate the encounter type.

Ancillary Codes

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

Fall from ladder, initial encounter

W22.82XA
Use to describe the external cause of the abrasion.

Fall on same level from slipping, tripping, and stumbling, initial encounter

W11.8XXA
Use to describe the external cause of the abrasion.

Differential Codes

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

Contusion of wrist/hand, initial encounter

S60.21XA
Use for bruising without skin breakage.

Contusion of lower leg, initial encounter

S80.21XA
Use for bruising without skin breakage.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Multiple Abrasions to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S60.81XA.

Impact

Clinical: Inaccurate clinical records., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Always specify right or left for each abrasion., Use templates that prompt for laterality.

Impact

Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces specificity and accuracy of health records.

Mitigation Strategy

Ensure documentation specifies the anatomical site of each abrasion.

Impact

Reimbursement: Claims may be denied or delayed., Compliance: Non-compliance with ICD-10 coding rules., Data Quality: Incomplete coding data.

Mitigation Strategy

Always include the appropriate 7th character (A, D, S) for encounter type.

Impact

Missing details such as laterality or encounter type.

Mitigation Strategy

Use comprehensive templates and checklists.

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 Multiple Abrasions, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Multiple Abrasions

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

Emergency Department Visit for Multiple Abrasions

Specialty: Emergency Medicine

Required Elements

  • Location and size of each abrasion
  • Laterality
  • Encounter phase
  • Patient statement of cause

Example Documentation

Patient presents with multiple abrasions: 2 cm abrasion on right forearm, 1 cm abrasion on left knee. Initial encounter. Patient states injuries occurred during a fall from a bicycle.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Multiple abrasions on arm.
Good Documentation Example
Three linear abrasions: 2 cm × 0.5 cm on anterior mid-forearm, right; 1 cm × 1 cm on lateral elbow, right; 0.5 cm circular on dorsal wrist, right. All superficial, no active bleeding.
Explanation
The good example provides specific locations, sizes, and details about the abrasions, enhancing coding accuracy.

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

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