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ICD-10 Guide
ICD-10 CodesS11.8

S11.8

Billable

Open wound of other specified parts of neck

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 S11.8 is a billable code used to indicate a diagnosis of open wound of other specified parts of neck.

Key Diagnostic Point:

An open wound of the neck refers to a break in the skin or mucous membrane in the neck region, which may involve underlying tissues such as muscles, blood vessels, and nerves. This code is used for injuries that do not fall into more specific categories, such as lacerations or puncture wounds. Mechanisms of injury can include blunt trauma, sharp objects, or gunshot wounds. Clinical presentation may vary from minor abrasions to severe lacerations that can compromise airway or vascular integrity. Diagnostic approaches typically involve physical examination, imaging studies (like CT or ultrasound), and possibly endoscopy if internal structures are involved. Management may include wound cleaning, suturing, and in some cases, surgical intervention to repair damaged structures. Complications can include infection, hemorrhage, and scarring. Accurate coding requires thorough documentation of the injury mechanism, location, and any associated injuries.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential injury mechanisms
  • Need for precise anatomical localization
  • Differentiation from similar codes
  • Potential for associated injuries requiring additional codes

Audit Risk Factors

  • Inadequate documentation of injury mechanism
  • Failure to specify the exact location of the wound
  • Misclassification of wound type (e.g., open vs. closed)
  • Omission of associated injuries

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed documentation of the mechanism of injury, vital signs, and initial assessment findings.

Common Clinical Scenarios

Trauma cases from accidents, assaults, or sports injuries.

Billing Considerations

Ensure that all injuries are documented, including any potential airway compromise.

Surgery

Documentation Requirements

Operative reports must detail the extent of the wound, surgical interventions performed, and any complications encountered.

Common Clinical Scenarios

Surgical repair of lacerations or traumatic injuries requiring reconstruction.

Billing Considerations

Document any additional procedures performed that may affect coding.

Coding Guidelines

Inclusion Criteria

Use S11.8 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is supported by clinical documentation that specifies the type and location of the wound

Exclusion Criteria

Do NOT use S11.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for repair of open wounds in the neck.

Documentation Requirements

Document the size and depth of the wound, as well as the method of repair.

Specialty Considerations

Emergency and surgical specialties must ensure accurate coding of the procedure performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, improving the granularity of data for open wounds, which aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, improving the granularity of data for open wounds, which aids in better patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, improving the granularity of data for open wounds, which aids in better patient management and resource allocation.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What documentation is required for coding S11.8?

Documentation must include the mechanism of injury, specific location of the wound, and any associated injuries or complications.