Complicated Coding

dawn@homehealthadv.comdawn@homehealthadv.com
edited May 2017 in Home Care Coding General
Hi All,
I need some help with this one.
Patient with self inflicted gunshot wound to leg that resulted in the
ultimate amputation of that leg. What would you use for primary??
I went with the following:
S81.802s
X74.8xxs
z89.612
Am I on the right track???
Thanks for your help.
Dawn


--
Dawn Shultis, RN, COS-C, HCS-D ICD-10
HomeHealth Advantage
801-458-8632

Comments

  • SusanWinokurSusanWinokur
    edited May 2017
    What is the main focus of care? Is this a fully healed amputation, normal healing amputation, or complicated (delayed healing, dehiscence, etc.)? Also, need to clarify if the self-inflicted gunshot was accidental or intentional.

    Susan Winokur, HCS-D, BCHH-C | Southwest Medical
    Part of OptumCare
    Senior Medical Coder, Home Health

    8655 South Eastern Avenue, Las Vegas, NV 89123 USA
    T +1 702-838-0644
    Susan.Winokur@optum.com
    smalv.com
  • dawn@homehealthadv.comdawn@homehealthadv.com
    edited May 2017
    ​Thanks Susan,

    This is a normal healing amputation wound, gunshot was self inflicted and
    intentional. ​
  • SusanWinokurSusanWinokur
    edited May 2017
    Ok, if normal healing and there are absolutely no sequela (phantom limb pain, etc.), then I would code 7th character D for the injury and the X74 code.

    Susan Winokur, HCS-D, BCHH-C | Southwest Medical
    Part of OptumCare
    Senior Medical Coder, Home Health

    8655 South Eastern Avenue, Las Vegas, NV 89123 USA
    T +1 702-838-0644
    Susan.Winokur@optum.com
    smalv.com
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