Open wound of vagina, complicated

This code signifies an open injury to the vaginal canal that has developed complications, such as infection, delayed healing, or foreign body presence. It indicates a breach in the integrity of the vaginal tissue, extending through the skin or mucous membrane, with an adverse event or factor impeding normal recovery.

Use this code for documented cases of a vaginal laceration, puncture, or avulsion that is complicated by infection (e.g., cellulitis, abscess), necrosis, or the presence of a foreign body. Documentation should clearly state the open wound and specify the complicating factor. This code is appropriate when the complication is directly related to the open wound and impacts treatment.

• Differentiate from uncomplicated open wounds of the vagina (878.0-878.3) which do not involve complications.
• Ensure documentation explicitly states the nature of the complication (e.g., "infected vaginal laceration").
• Consider additional codes for specific infections or foreign body if further detail is required and supported by documentation.