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ICD-10 Coding for Skin Abrasion(S80.811A, L08.89)

Complete ICD-10-CM coding and documentation guide for Skin Abrasion. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

ScrapeGrazeRoad Rash

Related ICD-10 Code Ranges

Complete code families applicable to Skin Abrasion

S00-S90Primary Range

Injuries to specific body parts

This range includes site-specific codes for skin abrasions based on location.

Other specified local infections of the skin and subcutaneous tissue

Used for coding infected abrasions.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
S80.811AAbrasion, right lower leg, initial encounterUse for non-infected abrasions on the right lower leg.
  • Partial-thickness skin loss without infection
  • Documented as abrasion with location and size
L08.89Other specified local infections of the skin and subcutaneous tissueUse when an abrasion is documented as infected.
  • Signs of infection such as erythema, purulence, or elevated WBC

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 skin abrasion

Essential facts and insights about Skin Abrasion

The ICD-10 code for a skin abrasion varies by location, such as S80.811A for the right lower leg.

Primary ICD-10-CM Codes for skin abrasion

Abrasion, right lower leg, initial encounter
Billable Code

Decision Criteria

clinical Criteria

  • Presence of partial-thickness skin loss without subcutaneous exposure

documentation Criteria

  • Detailed location and size of abrasion

Applicable To

  • Superficial injury of right lower leg

Excludes

  • Open wound of right lower leg (S81.801A)

Clinical Validation Requirements

  • Partial-thickness skin loss without infection
  • Documented as abrasion with location and size

Code-Specific Risks

  • Misclassification with open wounds if subcutaneous tissue is exposed.

Coding Notes

  • Ensure documentation specifies 'abrasion' and not 'open wound' unless deeper tissue is involved.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Other specified local infections of the skin and subcutaneous tissue

L08.89
Use when the abrasion is infected.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Open wound of right lower leg, initial encounter

S81.801A
Use if subcutaneous tissue is exposed.

Cellulitis

L03.-
Use for deeper skin infections not limited to the abrasion site.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Skin Abrasion to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S80.811A.

Impact

Clinical: Inaccurate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Always assess and document infection status.

Impact

Reimbursement: Incorrect classification may lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.

Mitigation Strategy

Ensure documentation specifies the mechanism and appearance of the wound.

Impact

Failure to document infection signs can lead to audit issues.

Mitigation Strategy

Ensure all infection indicators are documented clearly.

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 Skin Abrasion, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Skin Abrasion

Use these documentation templates to ensure complete and accurate documentation for Skin Abrasion. These templates include all required elements for proper coding and billing.

Emergency department visit for abrasion

Specialty: Emergency Medicine

Required Elements

  • Location and size of abrasion
  • Depth of skin loss
  • Signs of infection
  • Treatment provided

Example Documentation

Patient presents with a 3x2 cm abrasion on the right knee, partial-thickness, with no signs of infection. Cleaned and dressed.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Abrasion on knee.
Good Documentation Example
3x2 cm partial-thickness abrasion on right knee, cleaned and dressed.
Explanation
The good example provides specific details about size, location, and treatment, improving clarity and coding accuracy.

Need help with ICD-10 coding for Skin Abrasion? Ask your questions below.

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