Expect more detail for wound type, location.
If you thought ICD-9 provided a lot of granularity for reporting open wounds, think again. You won’t believe the detail you’ll need to document when ICD-10 goes into effect on Oct. 1, 2014.
Describe Cut’s Nature
Although the ICD-9 codes primarily use the terms “open wound” or “laceration,” you’ll need to have more information to describe the wound under ICD-10. For instance, the ICD-10 codes often distinguish laceration, puncture wound, and open bite using different codes.
On the other hand, ICD-9 provides some distinctions that you won’t find in ICD-10, such as specifying “full thickness wound” or “with complications.”
Isolate Location
Although both ICD-9 and ICD-10 identify the wound’s anatomic site, such as eyelid or neck, ICD-10 provides more specificity by including “right,” “left,” or “unspecified” for bilateral sites.
Example: Let’s see how ICD-9 and ICD-10 stack up for open wounds of the eyelid and surrounding tissue (excluding the orbit or eyeball).
ICD-9 code choices:
ICD-10 code choices:
Notice that each of these codes requires a sixth and seventh digit, as follows:
Sixth digit:
1 = right
2 = left
9 = unspecified.
Seventh digit:
A =initial encounter
D =subsequent encounter
S =sequela.
Bottom line: ICD-10 provides 54 seven-digit codes to replace ICD-9’s five four-digit codes describing wounds to the eyelid and periocular area.