Open wound of penis, complicated

This code signifies an open wound to the penis that involves a complication, such as a delayed healing, foreign body, or major infection. It indicates a breach in the skin and/or underlying tissues of the penis, which is further exacerbated by an adverse factor. This condition requires more intensive management than an uncomplicated open wound.

This code is appropriate when documentation specifies an open wound of the penis with an associated complication. Examples include a laceration with documented purulent discharge, a puncture wound with a retained foreign body, or an avulsion injury that is slow to heal. The medical record must clearly state the presence of both the open wound and the complicating factor.

• Differentiate from uncomplicated open wounds of the penis (878.0) by ensuring documentation explicitly states a complication.
• Specify the type of open wound (e.g., laceration, puncture, avulsion) if further detail is available, though not required for this specific code.
• Consider additional codes for the specific complication (e.g., infection, foreign body) if further specificity is needed and supported by documentation.