2025 ICD-10-CM code S85.811

Laceration of other blood vessels at the lower leg level, right leg.

Always refer to the official ICD-10-CM coding guidelines for the most up-to-date instructions.Pay close attention to exclusion notes and inclusion criteria.

Modifiers may be applicable depending on the circumstances of the procedure.Consult official guidelines for modifier usage.

Medical necessity for treatment is established by the presence of a laceration requiring intervention.The severity of the injury dictates the extent of treatment. Documentation must justify the level of care provided.

The clinical responsibility involves accurate diagnosis and documentation of the laceration, assessment of the extent of the injury (e.g., depth, length), evaluation of blood loss, and appropriate treatment (e.g., wound closure, hemostasis). Post-operative care and follow-up are also part of the clinical responsibility.

IMPORTANT Consider using additional codes from Chapter 20 (External causes of morbidity) to specify the cause of the injury.If a retained foreign body is present, use code from category Z18.-.

In simple words: This code describes a cut or tear in a blood vessel in the right lower leg.This doesn't include injuries to specific blood vessels in the ankle or foot.If there's also an open wound, that will need a separate code.

This ICD-10-CM code classifies a laceration (a cut or tear) affecting blood vessels in the right lower leg, excluding injuries to specific named vessels.It's crucial to note that this code excludes injuries to blood vessels at the ankle and foot level.Any associated open wound should be coded separately using codes from category S81.-.

Example 1: A patient presents to the emergency department after a fall, sustaining a laceration to a blood vessel in their right lower leg. The laceration is superficial and is easily managed with sutures. This requires coding S85.811 for the laceration and an external cause code from Chapter 20 for the fall., A patient is involved in a motor vehicle accident and suffers a deep laceration to multiple blood vessels in their right lower leg.Surgical repair is required.The surgeon will code S85.811, codes for the surgical repair (from CPT), and an external cause code from Chapter 20., A patient comes in for follow-up care after a previous laceration to a blood vessel in their right lower leg, requiring additional treatment.This would involve coding S85.811D (subsequent encounter).

Detailed medical record documentation is crucial, including the patient's history, physical examination findings, details of the injury (location, depth, length, involvement of specific vessels), treatment provided, and any complications.Imaging reports (if performed) and operative notes (if applicable) should also be included.

** The seventh character (A, D, or S) is required to specify the encounter (initial, subsequent, or sequela).Accurate coding requires careful consideration of the patient's history and the nature of the injury.

  • Revenue Code: Revenue codes will vary depending on the payer and specific services provided. Consult your payer's guidelines for appropriate revenue codes.
  • RVU: RVUs are not directly associated with ICD-10 codes.RVUs are determined by CPT codes and vary based on geographic location, facility type (inpatient/outpatient), and other factors.
  • Global Days : Not applicable to ICD-10 codes. Global periods are associated with surgical CPT codes.
  • Payment Status: Active
  • Modifier TC rule: Not applicable to ICD-10 codes. TC modifiers are used with CPT codes.
  • Fee Schedule : Not applicable to ICD-10 codes. Fee schedules are associated with CPT/HCPCS codes and payer contracts.
  • Specialties:Emergency Medicine, Vascular Surgery, General Surgery
  • Place of Service:Emergency Room - Hospital, Office, Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center
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