ICD-10 Coding for Avulsion Nail(S90.211A, S91.2)
Complete ICD-10-CM coding and documentation guide for Avulsion Nail. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Avulsion Nail
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S90.211A | Contusion of right great toe with nail damage, initial encounter | Use for initial encounter of contusion with nail damage on the right great toe. |
|
| S91.2 | Open wound of toe(s) with nail damage | Use for open wounds involving nail damage. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for nail avulsion
Essential facts and insights about Avulsion Nail
Primary ICD-10-CM Codes for avulsion nail
Decision Criteria
clinical Criteria
- Presence of contusion with nail damage
Applicable To
- Nail bed contusion
Excludes
- Open wound of toe with nail damage (S91.2)
Clinical Validation Requirements
- Documented contusion with nail damage
- Initial encounter for the injury
Code-Specific Risks
- Ensure laterality is documented
- Avoid using for open wounds
Coding Notes
- Ensure to document the encounter type and laterality.
S91.2 - Open wound of toe(s) with nail damage
Use for open wounds involving nail damage.
Applicable To
- Laceration with nail damage
Excludes
- Contusion with nail damage (S90.211A)
Clinical Validation Requirements
- Documented open wound with nail damage
Coding Notes
Document the type of wound and nail involvement.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Avulsion Nail to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S90.211A.
Impact
Clinical: Ambiguity in treatment location, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Always specify the affected side, Use templates that prompt for laterality
Impact
Reimbursement: Incorrect billing may lead to denials, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Confirm matrix destruction method in note
Impact
Failure to document matrix destruction when billing 11750
Mitigation Strategy
Ensure procedure notes clearly state matrix destruction method
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Avulsion Nail, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Avulsion Nail
Use these documentation templates to ensure complete and accurate documentation for Avulsion Nail. These templates include all required elements for proper coding and billing.
Initial Nail Avulsion
Specialty: PodiatryRequired Elements
- Patient demographics
- Procedure details
- Anesthesia used
- Post-operative care instructions
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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