Unspecified open wound of unspecified part of neck
ICD-10 S11.90 is a billable code used to indicate a diagnosis of unspecified open wound of unspecified part of neck.
An unspecified open wound of the neck refers to a laceration or break in the skin and underlying tissues in the neck region that does not have a specific description or classification. This type of injury can occur due to various mechanisms such as trauma from sharp objects, blunt force, or accidents. The neck is a critical area containing vital structures including the trachea, esophagus, major blood vessels, and nerves. Open wounds in this area can lead to significant complications, including hemorrhage, infection, and damage to underlying structures. Clinical assessment typically involves a thorough physical examination to determine the extent of the injury, potential for vascular or airway compromise, and the need for imaging studies. Management may include wound cleaning, suturing, and possibly surgical intervention depending on the severity and nature of the wound. Accurate coding is essential for proper treatment documentation and reimbursement.
Documentation must include a detailed description of the injury, mechanism of injury, and initial treatment provided.
Trauma cases from accidents, assaults, or sports injuries leading to open wounds.
Ensure that all relevant details are captured to support the use of unspecified codes.
Operative reports should detail the surgical approach, findings, and any repairs performed.
Surgical intervention for deep lacerations or wounds requiring debridement.
Accurate coding is crucial for surgical procedures; ensure that the nature of the wound is clearly documented.
Used for repair of open wounds in the neck region.
Document the size and location of the wound, as well as the repair technique used.
Emergency and surgical specialties should ensure accurate coding based on the complexity of the repair.
Use S11.90 when the documentation does not specify the exact location of the open wound, and no other specific codes apply.
