2025 ICD-10-CM code S85.599

Other specified injury of the popliteal vein, unspecified leg.

Follow current ICD-10-CM guidelines and official coding conventions.Ensure accurate and complete documentation to support the selected code. Use additional codes to specify the type of injury and external cause as needed.

Medical necessity for the diagnosis and treatment of a popliteal vein injury is established through clinical findings, supporting documentation, and the appropriate application of medical standards. The severity of the injury, the presence of symptoms, and the potential for complications are important factors in determining medical necessity.

The clinical responsibility lies with the physician or healthcare provider who diagnoses and manages the injury to the popliteal vein. This includes assessing the severity of the injury, determining the appropriate treatment plan, and ensuring adequate documentation for billing and reimbursement.The responsibility may extend to ordering imaging studies (e.g., ultrasound, CT scan) to evaluate the extent of the vascular damage.

IMPORTANT Additional codes may be necessary to specify the type of injury (e.g., open wound, hematoma) and external cause.Consider codes from Chapter 20 (External causes of morbidity) to indicate the cause of injury.If a retained foreign body is present, use code Z18.-

In simple words: This code is for a specific type of injury to a vein behind the knee (popliteal vein) in the leg.It's used when the exact spot on the leg isn't known.The doctor will need to explain exactly what happened and how severe the injury is.

This ICD-10-CM code classifies other specified injuries to the popliteal vein in the leg, when the specific location on the leg is not specified.It encompasses various types of trauma affecting this vein, excluding those explicitly listed in the exclusion notes.Additional codes may be required to specify the nature of the injury (e.g., open wound, hematoma) and the external cause.Use of this code necessitates thorough documentation detailing the injury's mechanism, location, and severity.

Example 1: A patient presents to the emergency department after a motor vehicle accident.A physical exam reveals a laceration to the posterior aspect of the right knee with significant swelling and bruising.Doppler ultrasound confirms a partial transection of the popliteal vein.Code S85.599 is used along with codes for the open wound and the external cause of the injury., A patient falls while playing sports, resulting in a direct blow to the back of their left knee.The patient experiences immediate pain and swelling in the knee.An MRI scan shows a hematoma around the popliteal vein with no evidence of a laceration.Code S85.599 is appropriate, along with a code for hematoma and the external cause of injury., During a surgical procedure on the popliteal artery, an inadvertent injury occurs to the adjacent popliteal vein.The injury is repaired surgically, and the patient recovers uneventfully.Code S85.599 is used along with the surgical procedure code and a code for the complication.

Detailed documentation is crucial for accurate coding.This includes a thorough description of the injury mechanism, location (even if unspecified), severity, associated findings (e.g., hematoma, open wound), treatment rendered, and any complications.Imaging reports (e.g., ultrasound, CT scan) should support the diagnosis.The external cause of the injury should also be documented using codes from Chapter 20.

** This code should be used cautiously and only when the specific nature of the injury is not fully defined, and other more precise codes are not applicable.Always ensure the code selection accurately reflects the clinical documentation.Consult official ICD-10-CM coding guidelines for any updates or clarification.

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