#Icd 10 code soft tissue abscess throat skin#

If there is a therapeutic component to the procedure, only the qualifier вЂњZвЂќ is used, rather than the qualifier вЂњX.вЂќ The qualifier вЂњXвЂќ is exclusively used for diagnostic procedures only.

Revising the principal diagnosis and procedure shifts the DRG from 603 (Cellulitis without MCC) to 137 (Mouth procedures with CC/MCC).

However, since the incision and drainage was therapeutic, we recommend assigning 0J910ZZ (Drainage of face, subcutaneous tissue and fascia, open approach, no qualifier (therapeutic).

The coder assigned 0J910ZX (Drainage of face subcutaneous tissue and fascia, percutaneous approach, diagnostic).

However, since the patient was also found to have a submandibular space abscess, we recommend adding K12.2 (Cellulitis and abscess of mouth) and assigning as the principal diagnosis since it was the indication for surgery.

The principal diagnosis assigned by the coder was L02.01 (Cutaneous abscess of face) for the submental abscess.

Thorough curettage of the region was done with normal saline and then through the extraoral incision site was used to irrigate copiously with through and through communication from the extraoral incision to the intraoral extraction sites.

Dental elevators and forceps were used to extract teeth #17 and #19. Envelope flap was elevated to the buccal and lingual aspects of the teeth. Attention was then turned intraorally where a 15 blade was used to make sulcular incision from tooth #17 through #19. Dissection was carried out along the medial aspect of the mandible and the inferior border easily into the preexisting pocket from the swelling. Blunt dissection was then carried through the platysma and the superficial layer of the deep cervical fascia up to the inferior border of the mandible into the pocket of the loculation.

#Icd 10 code soft tissue abscess throat skin#

Incision and drainage of left submandibularДЄ 15 blade was used to make an incision through skin and subcutaneous tissue, approximately 2 fingerbreadths before the inferior border of the mandible on the left side at the crest of the loculation about 1.5 cm in length. Surgical extraction of teeth #17 and #19.Дў. The abscess cavity is seen tracking superiorly to as the left side of the body of mandible.ДЎ. The cavity shows fluid along with air pockets. Moderate-sized abscess is noted in the left side of the floor of mouth. The patient was taken to the OR and tolerated the procedure well and there were no complications.ДЎ. The patient was admitted to the OMFS service and placed on IV antibiotics. Oral and maxillofacial surgery (OMFS) was consulted to evaluate and treat the patient. It was also noted that tooth #19 had periapical radiolucencies indicating a periapical abscess. CT imaging revealed a fluid collection in the left submandibular space associated with necrotic tooth #17. The patient is a 36-year-old who presented to the hospital complaining of left-sided facial pain and swelling due to submental abscess. Please see this editionвЂ™s case study below: We will be posting cases regularly in our newsletter. We have identified potential DRG audit target areas related to our audit work, changes to the ICD-10 codeset, and Coding Clinic updates. Provident has been engaged in ongoing DRG audits since ICD-10 was implemented in October 2015.