ICD-10 Coding/Diseases of the Skin and Subcutaneous Tissue

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This lesson introduces ICD-10-CM Diseases of the Skin and Subcutaneous Tissue.

Objectives and Skills[edit | edit source]

Objectives and skills for this lesson include:

  • Know how to classify dermatitis due to contact, food, and ingestion of drug (both correct and incorrect usage).
  • Code ulcers of the skin.
  • Explain how to classify cellulitis based on location and the primary goal of the treatment.
  • Code procedures done on the skin, such as excisions, debridement, and grafting.

Guidelines[edit | edit source]

Start Here[edit | edit source]

ICD-10-CM Official Guidelines for Coding and Reporting FY2019[edit | edit source]

Chapter 12 specific guidelines can be found on pages 55-57 of this document

Part 1: Diagnoses[edit | edit source]

CG I.C.12.a. Pressure ulcer stage codes[edit | edit source]
CG I.C.12.a.1) Pressure ulcer stages[edit | edit source]
CG I.C.12.a.2) Unstageable pressure ulcers[edit | edit source]
CG I.C.12.a.3) Documented pressure ulcer stage[edit | edit source]
CG I.C.12.a.4) Patients admitted with pressure ulcers documented as healed[edit | edit source]
CG I.C.12.a.5) Patients admitted with pressure ulcers documented as healing[edit | edit source]
CG I.C.12.a.6) Patient admitted with pressure ulcer evolving into another stage during the admission[edit | edit source]

Part 2: Procedures[edit | edit source]

Learning Resources[edit | edit source]

An illustration depicting pressure ulcer sites, including Occiput, Elbow, Hip, Sacrum, Buttocks, Ankle and Heel.


Pressure Ulcers

Mayo Clinic: Bed Sores: https://www.mayoclinic.org/diseases-conditions/bed-sores/symptoms-causes/syc-20355893

Medline: Pressure Sores https://medlineplus.gov/pressuresores.html

WebMD: Stages of Pressure Sores https://www.webmd.com/skin-problems-and-treatments/pressure-sores-4-stages#1

Bed Sores or Pressure Sores: What you need to know https://www.medicalnewstoday.com/articles/173972.php#treatment

Cellulitis

Mayo Clinic: Cellulitis https://www.mayoclinic.org/diseases-conditions/cellulitis/symptoms-causes/syc-20370762#targetText=Cellulitis%20(sel%2Du%2DLIE,face%2C%20arms%20and%20other%20areas.

Cellulitis: Everything You Need to Know https://www.healthline.com/health/cellulitis#symptoms

Cellulitis: Diagnosis and Treatment https://www.aad.org/diseases/a-z/cellulitis-treatment

Dermatitis

Mayo Clinic: Dermatitis https://www.mayoclinic.org/diseases-conditions/dermatitis-eczema/symptoms-causes/syc-20352380

What is dermatitis? https://www.webmd.com/skin-problems-and-treatments/guide/understanding-dermatitis-basics#1

Contact Dermatitis Overview https://www.aaaai.org/conditions-and-treatments/library/allergy-library/contact-dermatitis

Dermatitis https://my.clevelandclinic.org/health/articles/4089-dermatitis

Activities[edit | edit source]

  1. Review guidelines and learning resources for this chapter.
  2. Write and code a clinical scenario base on one ICD-10-CM guidelines from this chapter. Cite the guidelines and post above. (Part 1 Diagnosis)
  3. Write and code a clinical scenario utilizing ICD-10-CM abd ICD-10-PCS codes for conditions and treatments related to this chapter.
  4. Contribute to lesson summary and/or key terms.
  5. Go to the LMS and complete the weekly assignment.

Lesson Summary[edit | edit source]

Key Terms[edit | edit source]

Cellulitis - a common, potentially serious bacterial skin infection that occurs when a crack or break in your skin allows bacteria to enter.. The affected skin appears swollen and red and is typically painful and warm to the touch. Left untreated, the infection can spread to your lymph nodes and bloodstream and rapidly become life-threatening. It isn't usually spread from person to person. [1]

See Also[edit | edit source]

References[edit | edit source]

  1. "Cellulitis - Symptoms and causes". Mayo Clinic. Retrieved 2019-10-03.