ICD-10 Coding for Suture Granuloma(L92.3)
Complete ICD-10-CM coding and documentation guide for Suture Granuloma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Suture Granuloma
Key Information: ICD-10 code for suture granuloma
Essential facts and insights about Suture Granuloma
Primary ICD-10-CM Code for suture granuloma
Decision Criteria
clinical Criteria
- Histopathology confirms suture material surrounded by giant cells.
coding Criteria
- Granuloma is due to suture material.
documentation Criteria
- Documentation must specify 'foreign body reaction to suture material'.
Applicable To
- Granuloma due to suture material
Excludes
- Granuloma due to other foreign bodies (L92.8)
Clinical Validation Requirements
- Histopathology confirming foreign body reaction
- Imaging showing suture material
Code-Specific Risks
- Confusion with other granulomatous conditions
Coding Notes
- Ensure documentation specifies the presence of suture material.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Other granulomatous disorders
L92.8Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Suture Granuloma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L92.3.
Impact
Clinical: Misdiagnosis risk, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials
Mitigation Strategy
Use specific terminology, Include imaging and biopsy results
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always use L92.3 when foreign body etiology is confirmed.
Impact
Using L92.8 instead of L92.3 for suture-related granulomas.
Mitigation Strategy
Educate coders on specific criteria for L92.3.
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 Suture Granuloma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Suture Granuloma
Use these documentation templates to ensure complete and accurate documentation for Suture Granuloma. These templates include all required elements for proper coding and billing.
Post-surgical granuloma with retained suture
Specialty: General SurgeryRequired Elements
- History of surgery
- Symptoms
- Imaging results
- Biopsy findings
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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