ICD-10 Coding for Right Foot Wound(S91.301A)
Complete ICD-10-CM coding and documentation guide for Right Foot Wound. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Foot Wound
Key Information: ICD-10 code for right foot wound
Essential facts and insights about Right Foot Wound
Primary ICD-10-CM Code for right foot wound
Decision Criteria
clinical Criteria
- Presence of an open wound on the right foot
documentation Criteria
- Detailed wound description including size, depth, and location
Applicable To
- Initial encounter for open wound of right foot
Clinical Validation Requirements
- Physical examination showing open wound on right foot
- Documentation of wound size and depth
Code-Specific Risks
- Risk of unspecified laterality if not documented properly
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.
Type 2 diabetes mellitus with foot ulcer
E11.621Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right Foot Wound to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S91.301A.
Impact
Clinical: Leads to ambiguity in treatment records., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Always specify right or left foot in documentation.
Impact
Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Increases risk of audit failure., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Always document laterality and encounter type.
Impact
Use of unspecified codes increases audit risk.
Mitigation Strategy
Ensure documentation includes all necessary details for specific coding.
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 Right Foot Wound, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Foot Wound
Use these documentation templates to ensure complete and accurate documentation for Right Foot Wound. These templates include all required elements for proper coding and billing.
Initial encounter for right foot wound
Specialty: PodiatryRequired Elements
- Location
- Size
- Depth
- Tissue type
- Exudate
- Signs of infection
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Right Foot Wound? Ask your questions below.