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2025 ICD-10-CM code S75.202D

Unspecified injury of greater saphenous vein at hip and thigh level, left leg, subsequent encounter.

Use a secondary code from Chapter 20 (External causes of morbidity) to specify the cause of the initial injury.Also code any associated open wound (S71.-) if applicable. Do not use this code for birth trauma (P10-P15) or obstetric trauma (O70-O71).

Medical necessity for the subsequent encounter should be documented by the physician. This might include factors like monitoring wound healing, evaluating ongoing pain or swelling, assessing venous function, or managing complications related to the initial injury.

The clinical responsibility for an injury of the greater saphenous vein, which would be documented with ICD-10-CM code S75.202D, typically falls under the purview of physicians specializing in vascular surgery or trauma surgery. Other specialties might be involved depending on the nature of the injury and any associated complications.

In simple words: This code describes a follow-up visit for an unspecified injury to the great saphenous vein (the longest vein in the body) in the left upper leg, at the hip and thigh level.

Unspecified injury of greater saphenous vein at hip and thigh level, left leg, subsequent encounter.

Example 1: A patient was previously treated for a left thigh laceration that also injured the greater saphenous vein. They return for a follow-up appointment to assess wound healing and venous circulation., A patient presents for a follow-up visit due to continued pain and swelling in their left thigh after a sports injury, where diagnostics revealed injury to the greater saphenous vein., A patient who underwent a surgical procedure on their left thigh experiences persistent venous complications and presents for a subsequent visit, where diagnostic imaging reveals an injury to the greater saphenous vein, likely related to the prior surgery.

Documentation should include details about the nature of the initial injury, the specific location (hip and thigh level, left leg), the involvement of the greater saphenous vein, and the patient's current signs and symptoms.

** This code is specifically for subsequent encounters related to the injury. For the initial encounter, use the appropriate "A" code from the S75.2 series. This code is part of the S75.2 series, which includes codes for injuries to the greater saphenous vein at the hip and thigh level, further differentiated by laterality (right, left, or unspecified) and encounter type (initial encounter, subsequent encounter, or sequela).

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