Open wound of breast, without mention of complication

This code signifies an acute, uninfected break in the skin integrity of the breast, such as a laceration, puncture, or avulsion. It specifically applies when there are no associated complications like infection, delayed healing, or foreign body retention. The wound is typically traumatic in origin and requires medical attention.

Use this code for documented open wounds of the breast that are explicitly stated as uncomplicated. This includes scenarios like a superficial cut from an accidental injury or a clean surgical incision that is not yet healed and without signs of infection. Documentation should clearly state "open wound of breast" and lack any mention of infection, foreign body, or other complications.

• Do not use this code if the documentation indicates any complication, such as infection, delayed healing, or foreign body.
• Distinguish from contusions or abrasions; this code is for a full-thickness skin break.
• Always sequence this code as a primary diagnosis if it is the reason for the encounter.