Home Health ICD-9/ICD-10 Alert
Reader Questions:
Nix V Codes When Things Get Complicated
Published on Tue Apr 20, 2010 
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Question: Our patient was referred for care of an abdominal surgical wound that dehisced and became infected with methicillin resistant Staphylococcus? Should we list a V58.3 code? -- Vermont Subscriber Answer: Definitely do not use a V58.3 (Attention to dressings and sutures) code for this complicated wound! To code for a disruption of a surgical wound,list 998.31 (Disruption of internal operation [surgical] wound) if the disruption is internal or 998.32 (Disruption of external [surgical] operation wound) if the wound disruption is external. Follow the complication code with the code for MRSA Staphylococcus, 041.12 (Methicillin resistant Staphylococcus aureus).
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