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2025 ICD-10-CM code W53.01XD

This code signifies a subsequent encounter for a bite from a mouse.

* Ensure that the appropriate codes representing the nature of the injury are included along with W53.01XD.* Properly document the date of the initial encounter and the date of the subsequent encounter.* Clearly distinguish between initial and subsequent encounters, along with any sequela.

Medical necessity for the subsequent encounter is established based on the ongoing assessment and treatment required for the mouse bite. Documentation should reflect the need for follow-up care due to signs or symptoms, such as infection, pain, swelling, or non-healing wounds, or for preventative measures such as tetanus prophylaxis. The level of medical necessity is determined by the complexity and severity of the situation.

The clinical responsibility for coding W53.01XD lies with the physician or healthcare provider treating the patient for the mouse bite. This includes assessing the wound, providing necessary treatment (e.g., cleaning, antibiotics, tetanus prophylaxis), managing pain and infection, and monitoring for complications.Documentation should clearly reflect the nature of the encounter and justify the use of this code.

IMPORTANT Related codes include W53.01XA (initial encounter) and W53.01XS (sequela).

In simple words: This code is used when someone has been bitten by a mouse, and it's not their first time seeing a doctor for that bite.It helps track the ongoing effects of the bite.

W53.01XD, from the ICD-10-CM classification system, specifies a subsequent encounter resulting from a mouse bite.This code is used to classify injuries caused by a mouse bite after the initial encounter has been documented.It is used in conjunction with other ICD-10-CM codes that describe the nature of the injury sustained.

Example 1: A patient presents to the emergency department with a wound on their hand from a mouse bite sustained two days prior. The initial wound was treated at home. The patient now experiences increasing pain and swelling.W53.01XD is appropriate for this subsequent encounter to reflect the ongoing care for the mouse bite., A patient presents to their primary care physician's office for a follow-up visit after being bitten by a mouse. The patient's initial visit was two weeks ago, and the wound is now fully healed. W53.01XD is appropriate to reflect this follow-up visit for monitoring and evaluation of the healed mouse bite., A patient with a history of mouse bites seeks care for a new wound, again sustained from a mouse bite.While this represents the second overall instance of a mouse bite, for this particular wound, W53.01XA (initial encounter) would be used.W53.01XD would be utilized for subsequent care of this specific wound.

Detailed documentation is required to support the use of W53.01XD.This includes:* Date and time of the current encounter* Patient's history related to the mouse bite, including the date of the initial injury* Description of the wound at the time of the current encounter* Description of the treatment provided.* Assessment of the patient's condition and any associated complications such as infection or cellulitis.

** This code should not be used for venomous animal bites, which are classified under a different section of ICD-10-CM.

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