Moderate laceration of right kidney, subsequent encounter

This code signifies a moderate-severity tear or wound to the right kidney that is being treated or evaluated after the initial encounter. This type of injury typically involves damage extending beyond the renal capsule into the renal cortex or medulla, but without complete disruption of the kidney.

Apply this code when a patient presents for follow-up care, such as wound checks, medication adjustments, or imaging to monitor healing, after sustaining a moderate laceration to their right kidney. This includes situations where the patient is admitted for ongoing management or returns to an outpatient setting for subsequent treatment related to the initial injury.

• Ensure documentation clearly specifies "right" kidney and "moderate" laceration.
• The "D" seventh character indicates a subsequent encounter, meaning care after the initial active treatment.
• Always code with an external cause code (V00-Y99) to describe the circumstances of the injury.