the documentation says the patient has a wound on the medial aspect of the rt calf, related to a local blunt injury about a month ago. Has clear fluid weeping from the anterior aspect of the calf. There is an area of skin necrosis and fluctuance in the area of the hematoma.
Impression states "blunt trauma to right calf with hematoma and skin necrosis" and code 958.3 - posttraumatic wound infection, nec is marked.
does anyone else agree with this code? Should I be using this 958.3 everytime we have a chronic wound that was initially caused by trauma?
Impression states "blunt trauma to right calf with hematoma and skin necrosis" and code 958.3 - posttraumatic wound infection, nec is marked.
does anyone else agree with this code? Should I be using this 958.3 everytime we have a chronic wound that was initially caused by trauma?