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ICD-10 Guide
ICD-10 CodesS11.80

S11.80

Billable

Unspecified open wound of other specified part of neck

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

Code Description

ICD-10 S11.80 is a billable code used to indicate a diagnosis of unspecified open wound of other specified part of neck.

Key Diagnostic Point:

The code S11.80 refers to an unspecified open wound located in other specified parts of the neck. Open wounds can result from various mechanisms, including trauma from sharp objects, blunt force, or penetrating injuries. These injuries may occur in various settings, such as accidents, assaults, or sports-related incidents. Clinical presentation often includes visible lacerations, bleeding, and potential damage to underlying structures such as muscles, nerves, and blood vessels. The management of open wounds typically involves thorough cleaning, debridement, and, if necessary, surgical intervention to repair damaged tissues. Complications can include infection, excessive scarring, and functional impairment depending on the wound's location and severity. Accurate documentation of the injury's mechanism, location, and extent is crucial for appropriate coding and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of wound specifics
  • Need for precise anatomical localization
  • Differentiation from similar codes for neck injuries
  • Potential for multiple injuries requiring comprehensive coding

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the exact location of the wound
  • Misclassification of the wound type (open vs. closed)
  • Inconsistent coding of related injuries

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include details of the injury mechanism, wound assessment, and initial treatment provided.

Common Clinical Scenarios

Trauma cases presenting with lacerations from accidents or assaults.

Billing Considerations

Ensure that all relevant details are captured in the emergency department notes to support coding.

Surgery

Documentation Requirements

Operative reports should detail the surgical approach, extent of the wound, and any repairs performed.

Common Clinical Scenarios

Surgical intervention for deep lacerations or complex neck injuries requiring repair.

Billing Considerations

Accurate coding requires clear documentation of the surgical procedure and any complications encountered.

Coding Guidelines

Inclusion Criteria

Use S11.80 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when the specific site of the wound is not documented
  • Always verify that the injury is indeed an open wound and not a closed injury

Exclusion Criteria

Do NOT use S11.80 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 area.

Documentation Requirements

Document the size of the wound and the method of repair.

Specialty Considerations

Ensure that the procedure aligns with the diagnosis for accurate billing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, which can improve the accuracy of data collection and reimbursement processes. S11.80 provides a means to capture unspecified open wounds, but coders must ensure that documentation supports its use.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, which can improve the accuracy of data collection and reimbursement processes. S11.80 provides a means to capture unspecified open wounds, but coders must ensure that documentation supports its use.

Reimbursement & Billing Impact

reimbursement processes. S11.80 provides a means to capture unspecified open wounds, but coders must ensure that documentation supports its use.

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

When should I use S11.80 instead of a more specific code?

Use S11.80 when the documentation does not specify the exact location of the open wound in the neck, and no other specific codes apply.