Open bite of unspecified shoulder
ICD-10 S41.059 is a billable code used to indicate a diagnosis of open bite of unspecified shoulder.
An open bite of the shoulder refers to a traumatic injury where a portion of the shoulder's soft tissue is lacerated or punctured, typically due to an animal bite or a sharp object. This injury can lead to significant complications, including infection, nerve damage, and impaired shoulder function. The shoulder joint is complex, comprising the humerus, scapula, and clavicle, and is surrounded by muscles, tendons, and ligaments that facilitate movement. An open bite can disrupt these structures, potentially leading to dislocations, fractures, or rotator cuff injuries. Patients may present with pain, swelling, and limited range of motion. Treatment often involves wound care, possible surgical intervention to repair damaged tissues, and rehabilitation to restore function. Accurate coding is essential for proper management and reimbursement, as the severity and nature of the injury can vary widely, impacting treatment protocols and outcomes.
Detailed operative notes, imaging studies, and post-operative care documentation.
Surgical repair of shoulder injuries, management of fractures, and treatment of rotator cuff tears.
Ensure clear documentation of the injury type and any surgical interventions performed.
Comprehensive assessment notes, including mechanism of injury and initial treatment provided.
Initial evaluation and management of traumatic shoulder injuries, including bites.
Accurate documentation of the injury's nature and any immediate interventions is crucial for coding.
Used when surgical intervention is required for rotator cuff repair following an open bite injury.
Operative report detailing the procedure and any complications.
Orthopedic surgeons should ensure accurate coding based on the surgical approach and findings.
An open bite involves a break in the skin and underlying tissues, often leading to more severe complications, while a closed bite does not penetrate the skin.
