2025 ICD-10-CM code S85.592A

Other specified injury of the popliteal vein in the left leg, initial encounter.

Follow all official ICD-10-CM coding guidelines. Ensure appropriate sequencing and use of secondary codes to completely capture the clinical picture.Proper documentation is paramount for accurate coding.

No specific modifiers are usually applied to this code, but additional codes may be required depending on the specifics of the case and the treatment rendered.

Medical necessity is established through the documented need for evaluation and treatment of the popliteal vein injury.This usually involves symptoms (e.g., pain, swelling, hematoma), clinical examination findings, and often imaging studies.The severity and potential complications justify the medical intervention and coding.

The clinical responsibility includes accurate diagnosis of the injury, appropriate treatment (e.g., wound repair, medication, observation), and documentation to support the coding choice.This includes specifying the type of injury to the popliteal vein and any associated complications.

IMPORTANT Use additional codes to specify any associated open wounds (S81.-) and retained foreign bodies (Z18.-).Secondary codes from Chapter 20 (External causes of morbidity) should be used to indicate the cause of injury unless the T-section code already includes the external cause.Excludes1: Birth trauma (P10-P15), obstetric trauma (O70-O71). Excludes2: Burns and corrosions (T20-T32), frostbite (T33-T34), injuries of ankle and foot except fracture of ankle and malleolus (S90-S99), insect bite or sting, venomous (T63.4).

In simple words: This code is used for a specific type of injury to a vein behind the knee in the left leg when it's the first time the patient is seen for this injury.The doctor will need to describe exactly what happened to the vein.

This ICD-10-CM code classifies other specified injuries to the popliteal vein located in the left leg during the initial encounter.The code encompasses injuries not specifically listed elsewhere within the S85 category, requiring further clinical specification in documentation.It's crucial to document the precise nature of the injury (e.g., laceration, contusion, crush injury) and any associated complications.

Example 1: A patient presents to the emergency department after a motor vehicle accident with a lacerated popliteal vein in the left leg.The laceration requires surgical repair.S85.592A is used to code the initial encounter for this specific injury., A patient falls and sustains a deep contusion to their left popliteal vein, resulting in significant hematoma formation. The patient is admitted for observation and management of the injury. S85.592A is used to code the initial encounter, with additional codes to describe the hematoma and the observation stay., During a lower extremity surgery, an iatrogenic injury to the left popliteal vein occurs. This requires immediate intervention and repair. S85.592A is applied in conjunction with codes representing the surgical procedure and the complications, plus codes indicating the iatrogenic nature of the injury.

Detailed documentation is essential.This should include the mechanism of injury, precise location of the injury (left popliteal vein), the type of injury (e.g., laceration, contusion), extent of the injury, treatment rendered (surgical repair, medication), and any complications.Imaging reports (ultrasound, CT scan) confirming the injury would be helpful.

** Consider using additional codes to capture co-morbidities, complications, or other relevant diagnoses.

  • Payment Status: Active
  • Specialties:Vascular Surgery, Trauma Surgery, Emergency Medicine
  • Place of Service:Emergency Room - Hospital, Inpatient Hospital, Office, Ambulatory Surgical Center
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