ICD-10 Coding for Subungual Hematoma(S60.12XA, S90.12XA)
Complete ICD-10-CM coding and documentation guide for Subungual Hematoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Subungual Hematoma
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S60.12XA | Contusion of left thumb with damage to nail | Use for traumatic subungual hematoma of the thumb. |
|
| S90.12XA | Contusion of toe with damage to nail | Use for traumatic subungual hematoma of the toe. |
|
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 subungual hematoma
Essential facts and insights about Subungual Hematoma
Primary ICD-10-CM Codes for subungual hematoma
Decision Criteria
clinical Criteria
- Presence of hematoma under the nail following trauma
documentation Criteria
- Laterality and mechanism of injury must be documented
Applicable To
- Subungual hematoma of thumb
Excludes
- Fracture of thumb
Clinical Validation Requirements
- Documented trauma to the thumb
- Presence of hematoma under the nail
- Laterality specified
Code-Specific Risks
- Incorrect laterality documentation
- Missing trauma description
Coding Notes
- Ensure documentation specifies the mechanism of injury and laterality.
S90.12XA - Contusion of toe with damage to nail
Use for traumatic subungual hematoma of the toe.
Applicable To
- Subungual hematoma of toe
Excludes
- Fracture of toe
Clinical Validation Requirements
- Documented trauma to the toe
- Presence of hematoma under the nail
- Laterality specified
Coding Notes
Ensure documentation specifies the mechanism of injury and laterality.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Struck by hammer
W22.02XADifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Nail dystrophy
L60.3Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Subungual Hematoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S60.12XA.
Impact
Clinical: Inadequate clinical documentation, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Use structured templates, Educate staff on documentation importance
Impact
Reimbursement: May lead to denied claims or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data and statistics.
Mitigation Strategy
Always document and code the specific side affected.
Impact
Failure to document laterality and mechanism can lead to audits.
Mitigation Strategy
Use detailed templates and regular training.
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 Subungual Hematoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Subungual Hematoma
Use these documentation templates to ensure complete and accurate documentation for Subungual Hematoma. These templates include all required elements for proper coding and billing.
Emergency Department Note
Specialty: Emergency MedicineRequired Elements
- Location and laterality
- Mechanism of injury
- Size and drainage details
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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