Unspecified open wound of left upper arm, subs encntr

Unspecified open wound of left upper arm, subsequent encounter

📋Clinical Description

This code indicates an open wound on the left upper arm where the specific type of wound (e.g., laceration, puncture, avulsion) is not documented. It signifies a follow-up visit for this injury, after the initial treatment has been rendered.

🎯When to Use

Apply this code when a patient presents for subsequent care of an open wound to the left upper arm, and the medical record does not specify the wound's nature. This includes situations like wound checks, dressing changes, or removal of sutures/staples during the healing phase.

💡Coding Tips

Requires a seventh character "D" for subsequent encounter, indicating active treatment after the initial phase.
Only use when the specific type of open wound is truly unspecified in the documentation.
Always review the entire medical record to ensure no more specific open wound code can be assigned.

AI-generated reference — verify against official guidelines

Code Hierarchy

▲S41.102Unspecified open wound of left upper arm

S41.102D(current)

Crosswalks

V58.89ApproxICD-9

Same Category

S41Open wound of shoulder and upper arm S41.0Open wound of shoulder S41.00Unspecified open wound of shoulder S41.001Unspecified open wound of right shoulder S41.001AUnspecified open wound of right shoulder, initial encounter