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2025 ICD-10-CM code S60.862D

Insect bite (nonvenomous) of left wrist, subsequent encounter.

Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate the cause of injury. Codes within the T section that include the external cause do not require an additional external cause code. Use an additional code to identify any retained foreign body, if applicable (Z18.-).

Medical necessity for the subsequent encounter is established by the need for ongoing management of the insect bite, such as monitoring for infection, providing wound care, or managing allergic reactions. The documentation should clearly support the need for continued medical attention.

The provider diagnoses the condition based on the patient’s history and physical examination. Treatment options include removing the stinger if still present, cleaning the site with disinfectant, applying ice or a cold pack to reduce pain and inflammation, and medications such as topical and oral antihistamines for mild allergic symptoms or injectable epinephrine for serious allergic reactions. Topical anesthetics, analgesics, or nonsteroidal anti-inflammatory drugs may be used for pain relief, and antibiotics or antimicrobials, if appropriate, to prevent or treat infection.

In simple words: This code describes a follow-up visit for a bite on your left wrist from a non-poisonous insect like a mosquito or flea. These bites can cause itching, redness, and swelling, but are not usually dangerous unless they become infected.

A nonvenomous insect bite of the left wrist refers to a bite by nonpoisonous insects such as mosquitoes, fleas, mites, lice, and bedbugs. This can cause an allergic reaction and possibly transmit insect-borne diseases but is usually not life-threatening. This code applies to the subsequent encounter for the injury.

Example 1: A patient presents for a follow-up visit after experiencing an insect bite on their left wrist a few days prior. The bite site is now red, swollen, and itchy., A patient was seen a week ago for a nonvenomous insect bite on their left wrist. They return today with increased pain, swelling, and signs of infection at the bite site., A patient who was previously treated for a nonvenomous insect bite on their left wrist returns for a follow-up appointment to monitor the healing process and ensure no further complications have developed.

Documentation should include details about the initial bite, the location (left wrist), the type of insect if known (nonvenomous), the patient's symptoms, and the treatment provided. Subsequent encounter documentation should include the progress of healing, any complications, and further treatment if necessary.

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