kmikensana
Contributor
Hi All-
I need help, I'm not sure which way to go with this one:
On the fee slip:
Appt note: f/u suture in foot, wound check (I think this part is entered by the PSR?)
Provider wrote diagnosis "healing wound"
In the chart note:
Reason for visit: wound check
Note/HPI: something not legible, follow by "hit on motorcycle"
Exam: General appearance, ENTM, neck/nodes, chest/lungs, heart: all WNL. Comment: "healing wound"
Final dx: healing wound
Treatment: Not legible, I couldn't make out what the provider wrote.
I'm not sure what would be the appropriate ICD-10 code to assign. Although this states follow up, I had searched for prior visit which I didn't see. Z09 came to mind but this is not healed but rather a healing wound. I cannot locate a code for healing wound either. My other thought was to query the provider if the patient was seen for injury such as laceration, superficial, puncture and code that but what's everyone's take on this one? Any infomation is helpful and very appreciated.
I need help, I'm not sure which way to go with this one:
On the fee slip:
Appt note: f/u suture in foot, wound check (I think this part is entered by the PSR?)
Provider wrote diagnosis "healing wound"
In the chart note:
Reason for visit: wound check
Note/HPI: something not legible, follow by "hit on motorcycle"
Exam: General appearance, ENTM, neck/nodes, chest/lungs, heart: all WNL. Comment: "healing wound"
Final dx: healing wound
Treatment: Not legible, I couldn't make out what the provider wrote.
I'm not sure what would be the appropriate ICD-10 code to assign. Although this states follow up, I had searched for prior visit which I didn't see. Z09 came to mind but this is not healed but rather a healing wound. I cannot locate a code for healing wound either. My other thought was to query the provider if the patient was seen for injury such as laceration, superficial, puncture and code that but what's everyone's take on this one? Any infomation is helpful and very appreciated.
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