tci ED Coding & Reimbursement Alert - 2021 Issue Q2

Reader Questions: Differentiate Closed, Open Wounds

Question: We’ve noticed that one of our physicians reports the diagnosis code for a closed wound even when he’s clearly treating open lacerations and repairing the wounds. Can you give us a clear description of how to differentiate an open wound from a closed wound? And does open wound treatment automatically mean we can choose a procedure code? Washington Subscriber Answer: A closed wound is any wound where the skin is not broken, most frequently a bruise. An open wound occurs when the skin is cut, torn, or punctured. The most common types of open wounds are...

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