Abrasion of vagina and vulva, subsequent encounter

This code indicates a superficial injury to the external female genitalia (vulva) and/or the vaginal canal, characterized by a scrape or rub that removes the top layer of skin. It signifies that the patient is receiving follow-up care for this specific injury after the initial treatment.

Apply this code when a patient presents for ongoing management, healing assessment, or treatment of complications related to a previously diagnosed abrasion of the vagina or vulva. This includes visits for wound checks, dressing changes, or evaluation of persistent discomfort following the initial injury.

• Ensure documentation clearly states "subsequent encounter" or indicates ongoing care for the initial injury.
• Do not use for the initial treatment of the abrasion; a code from the same category with an "A" (initial encounter) seventh character would be appropriate for that.
• Look for associated documentation of the cause of the abrasion (e.g., sexual activity, trauma) if further specificity is needed for external cause codes.