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2025 ICD-10-CM code T34.011S

Sequela of frostbite with tissue necrosis of the right ear.

Use additional codes to capture the cause of the frostbite (Chapter 20), and any concurrent conditions. Code selection should be based on the specific long-term effects experienced by the patient, and not merely the original frostbite.

Modifiers may be applicable depending on the circumstances of the care provided.Consult your local payer's guidelines.

Medical necessity is established by the presence of persistent, clinically significant symptoms or functional impairment directly related to a prior frostbite injury in the right ear. This requires appropriate documentation of ongoing health consequences.

The clinical responsibility lies with the physician or healthcare professional managing the patient's long-term complications resulting from the frostbite, including pain management, wound care (if applicable), and monitoring for potential infections.This may involve various specialties such as otolaryngology, plastic surgery, or general practice.

IMPORTANT:Consider additional codes from Chapter 20 (External causes of morbidity) to specify the cause of the frostbite.If a foreign body remains in the ear, use code Z18.-Codes for initial encounter (T34.011A) and subsequent encounters (T34.011D) exist.Excludes codes for birth trauma (P10-P15) and obstetric trauma (O70-O71).

In simple words: This code describes the long-term problems (sequelae) from frostbite that caused tissue death in the right ear. The frostbite itself has healed, but there's lasting damage.

This code signifies the late effects (sequelae) of frostbite resulting in tissue necrosis specifically affecting the right ear.It indicates that the initial frostbite injury has healed, but the resulting tissue damage and its consequences persist.

Example 1: A patient presents with persistent pain and scarring in the right ear six months after a severe frostbite injury.The initial frostbite has healed, but significant tissue damage remains. T34.011S is used to reflect the sequelae., A patient experiences ongoing numbness and hearing impairment in their right ear, a year after suffering frostbite during a winter mountaineering expedition. The physician documents the sequela of the frostbite and utilizes T34.011S., A child who suffered frostbite to the right ear during a winter storm experiences persistent deformity and functional impairment years later. The code T34.011S accurately captures these late-stage effects.

* Detailed history of the frostbite incident, including date, duration of exposure, and environmental conditions.* Physical examination documenting the extent of tissue necrosis in the right ear and any residual functional impairment (hearing loss, pain, etc.).* Imaging studies (if performed) demonstrating the extent of tissue damage.* Documentation of any treatments provided, such as pain management or reconstructive surgery.* Physician's statement confirming that the condition is a sequela of a previous frostbite injury.

** This code is specific to sequelae affecting the right ear.For frostbite in other locations or involving multiple body parts, refer to the appropriate ICD-10-CM codes in the T34 and T35 ranges. Always ensure proper documentation to support the use of this code.

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