Iatrogenic, puncture or laceration, related to a procedure or surgery NOS: Difference between revisions

Latest revision as of 12:02, 2021 June 23

ICD10 Diagnosis
Dx:	Iatrogenic, puncture or laceration, related to a procedure or surgery NOS
ICD10 code:	T81.2
Pre-ICD10 counterpart:	Pneumothorax (iatrogenic), Hemothorax (iatrogenic), Significant bleed (iatrogenic)
Charlson/ALERT Scale:	none
APACHE Como Component:	none
APACHE Acute Component:	none
Start Date:
Stop Date:
External ICD10 Documentation	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

Additional Info

Includes such an iatrogenic injury to a vessel or organ.

Iatrogenic injuries

Some iatrogenic codes are self-explanatory for what occurred. For example Iatrogenic, air embolism, as complication of line/infusion/transfusion/injection. But for others, such as Iatrogenic, puncture or laceration, related to a procedure or surgery NOS it's not clear what happened, i.e. what was iatrogenically injured.
- In these latter cases, with just one exception, DO NOT also code a trauma code for what was iatrogenically injured. This is because iatrogenic injuries are technically not considered to be traumas.
  - that one exception is you should code Rib fracture(s) due to CPR in the context of CPR, cardiac resuscitation.
- Instead, combine the iatrogenic code with another ICD10 code indicating the body part involved.
  - e.g. for iatrogenic laceration of a pulmonary artery, combine: Iatrogenic, puncture or laceration, related to a procedure or surgery NOS with Disorder of pulmonary vessels, NOS. See list of NOS codes in ICD10.

Guideline for Iatrogenic Pneumothorax

According to our general rule of not coding iatrogenic events as traumas, code an iatrogenic pneumothorax as

Iatrogenic, puncture or laceration, related to a procedure or surgery NOS
Plus the most appropriate of the following;

Alternate ICD10s to consider coding instead or in addition

This is one of a number of different types of iatrogenic injury codes. Here is information about all of them; Iatrogenic codes in ICD10

Iatrogenic codes:
Acetaminophen (tylenol, paracematol), adverse effect Adrenal insufficiency, drug-induced (i.e. due to steroid administration) Anesthetic gas, adverse effect Anti-arrhythmic, adverse effect Anti-arrhythmic, overdose/toxicity Antibiotic/antimicrobial, adverse effect Antibiotic/antimicrobial, overdose/toxicity Anticoagulant, adverse effect Anticoagulant, overdose/toxicity Antidepressant drug NOS, adverse effect Antineoplastic/chemotherapy or immunosuppressive drugs, adverse effect Antineoplastic/chemotherapy or immunosuppressive drugs, overdose/toxicity Antiseizure drug NOS, adverse effect Antiseizure drug NOS, overdose/toxicity Aspirin or other salicylate or NSAID, adverse effect Benzodiazepine, adverse effect Bone marrow transplant, failure or rejection Calcium channel blocker drug, adverse effect Cardiac/cardiovascular drug NOS, adverse effect Cardiac/cardiovascular drug NOS, overdose/toxicity Cerebrospinal fluid (CSF) leak Complication associated with artificial fertilization, NOS Complication of anesthesia, NOS Cushing's syndrome, drug-induced Decubitus (pressure) ulcer, Stage I (surface reddening) Decubitus (pressure) ulcer, Stage II (to fascia, just under skin) Decubitus (pressure) ulcer, Stage III (deep, to but not including muscle) Decubitus (pressure) ulcer, Stage IV (involves muscle, tendon, or bone) Decubitus (pressure) ulcer, stage not indicated Drug or biological substance/agent NOS, adverse effect Failed/difficult intubation, or complication of intubation Graft-versus-host disease/reaction (GVHD) Hallucinogen, adverse effect Heart transplant, failure or rejection or unspecified complication Heart-lung transplant, failure or rejection or unspecified complication Hemorrhage, due to anticoagulant or thrombolytic drug Heparin-induced thrombocytopenia (HIT) Hormone or hormone agonist NOS, overdose/toxicity Hormone or hormone agonist drug, adverse effect Hypotension, drug-induced Iatrogenic problem NOS, related to a surgery or procedure, NOS Iatrogenic, air embolism, as complication of line/infusion/transfusion/injection Iatrogenic, complication NOS, cardiac or vascular prosthetic device or implant or graft Iatrogenic, complication of medical or surgical care NOS Iatrogenic, dehiscence or rupture or disruption, surgical wound NOS Iatrogenic, hemorrhage or hematoma, related to a procedure or surgery NOS Iatrogenic, hypotension/shock, postoperative/post-procedural Iatrogenic, infection, cardiac or vascular prosthetic device or implant or graft NOS Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI) Iatrogenic, infection, following a procedure or surgery, NOS Iatrogenic, infection, heart valve prosthesis (incl prosthetic valve endocarditis) Iatrogenic, infection, internal orthopedic prosthetic device or implant or graft or bone device Iatrogenic, infection, internal prosthetic device or implant or graft NOS Iatrogenic, infection, related to vascular access other than central line Iatrogenic, infection, urinary catheter Iatrogenic, malignant hyperthermia, due to anesthesia Iatrogenic, mechanical complication/dysfunction, cardiac electronic device Iatrogenic, mechanical complication/dysfunction, cardiac or vascular prosthetic device or implant or graft, NOS Iatrogenic, mechanical complication/dysfunction, dialysis catheter Iatrogenic, mechanical complication/dysfunction, heart valve prosthesis Iatrogenic, mechanical complication/dysfunction, internal orthopedic prosthetic device or implant or graft or bone device Iatrogenic, mechanical complication/dysfunction, internal prosthetic device or implant or graft NOS Iatrogenic, mechanical complication/dysfunction, urinary catheter Iatrogenic, thromboembolism, as complication of line/infusion/transfusion/injection Iatrogenic, transfusion reaction (incompatibility reaction) (any type) Insulin or antidiabetic drug, adverse effect Liver transplant, failure or rejection or unspecified complication Lung transplant, failure or rejection or unspecified complication Neuropathy, peripheral, drug-induced Nosocomial infection, NOS Opioid/narcotic, adverse effect Pancreas transplant, failure or rejection or unspecified complication Pneumonia, ventilator-associated (VAP) Psychiatric drug NOS, adverse effect Psychiatric drug NOS, overdose/toxicity Rib fracture(s) due to CPR Sedative or hypnotic, adverse effect Skin rash, drug-induced (drug eruption) Stimulants incl. methamphetamine, poisoning Subglottic (tracheal) stenosis or tracheomalacia, iatrogenic Thrombolytic drug, adverse effect Thrombolytic drug, overdose/toxicity Transfusion-related acute lung injury (TRALI, form of ARDS) Transplanted organ NOS, failure or rejection or unspecified complication Tricyclic antidepressant, adverse effect Xray contrast agent, adverse effect

Candidate Combined ICD10 codes

See NOS codes in ICD10 for a list of likely injury sites to use with Iatrogenic injuries.

Related CCI Codes

Data Integrity Checks (automatic list)

none found

Related articles:
Thoracentesis/Pleurocentesis ‎ (← links) Pneumothorax (iatrogenic) ‎ (← links) Hemothorax (iatrogenic) ‎ (← links) Combined ICD10 codes ‎ (← links) Spinal cord compression ‎ (← links) Cerebrospinal fluid (CSF) leak ‎ (← links) Perforation of tympanic membrane (eardrum) ‎ (← links) Hemopericardium ‎ (← links) Pneumothorax, tension, nontraumatic ‎ (← links) Pneumothorax, nontension, nontraumatic ‎ (← links) Pneumothorax, nontraumatic, NOS ‎ (← links) Hemothorax or hemopneumothorax, nontraumatic ‎ (← links) Pneumonia, ventilator-associated (VAP) ‎ (← links) Muscle, strain ‎ (← links) Rib, fracture, injury/trauma ‎ (← links) Flail chest, injury/trauma ‎ (← links) Thorax, bones NOS, fracture, injury/trauma ‎ (← links) Thorax, joints or ligaments, dislocation/sprain/strain, injury/trauma ‎ (← links) Spinal cord, thoracic (T-spine), injury/trauma ‎ (← links) Nerve root, thoracic spinal cord, injury/trauma ‎ (← links) Thorax, nerves NOS, injury/trauma ‎ (← links) Aorta, thoracic, injury/trauma ‎ (← links) Superior vena cava (SVC), injury/trauma ‎ (← links) Thorax, blood vessels NOS, injury/trauma ‎ (← links) Heart, wound/injury/trauma ‎ (← links) Pneumothorax, traumatic ‎ (← links) Hemothorax, traumatic ‎ (← links) Lung NOS, wound/injury/trauma ‎ (← links) Trachea or bronchus (airways) NOS, wound/injury/trauma ‎ (← links) Esophagus, wound/injury/trauma ‎ (← links) Intrathoracic organ/structure NOS, wound/injury/laceration ‎ (← links) Thorax NOS, wound/injury/trauma ‎ (← links) Abdomen or lower back or pelvis, superficial injury/trauma (minor, contusion) ‎ (← links) Abdomen or lower back or pelvis, soft tissues, open wound, injury/trauma ‎ (← links) Vertebra, lumbar (L-spine), fracture, injury/trauma ‎ (← links) Pelvis, fracture, injury/trauma ‎ (← links) Lumbar spine or pelvis, joints or ligaments, dislocation/sprain/strain, injury/trauma ‎ (← links) Spinal cord, lumbar (L-spine), injury/trauma ‎ (← links) Nerve root, lumbar spinal cord, injury/trauma ‎ (← links) Abdomen or lower back or pelvis, nerves NOS, injury/trauma ‎ (← links) Aorta, abdominal, injury/trauma ‎ (← links) Inferior vena cava (IVC), injury/trauma ‎ (← links) Abdomen or pelvic, blood vessels NOS, injury/trauma ‎ (← links) Spleen, wound/injury/trauma ‎ (← links) Gallbladder or bile ducts, traumatic laceration/rupture ‎ (← links) Liver, wound/injury/trauma ‎ (← links) Gallbladder or bile ducts, wound/injury/trauma ‎ (← links) Pancreas, wound/injury/trauma ‎ (← links) Stomach, traumatic laceration/rupture ‎ (← links) Stomach, wound/injury/trauma ‎ (← links)

Skin	Trauma Abdominal trauma Burn Chemical burn Fracture Head trauma Head trauma (old) Joint/ligament trauma Lower limb trauma Muscles/tendon trauma Neck trauma Potential trauma Thoracic trauma Traumatic Amputation Traumatic fracture Upper limb trauma Vascular trauma	Renal/urinary Chronic kidney disease Nephritic syndrome Renal failure Renal/Urinary neoplasm Urinary tract infection	Infectious disease Antibiotic resistance Bacteria COVID Double duty pathogen Encephalitis Fungus Iatrogenic infection Infection requiring pathogen Infection with implied pathogen Influenza Intra-abdominal infection Lower respiratory tract infection Meningitis Non-specific pathogens Osteomyelitis Pathogens Pneumonia Potential infection Tuberculosis Upper respiratory tract infection Virus
ENT	Testing Imaging	Cardiovascular Aneurysm Aortic Aneurysm Arrhythmia Arterial thromboembolism Atherosclerosis Cardiac septum problem Cerebral Hemorrhage/Stroke Heart valve disease Hemorrhage Hypertension Hypotension Ischemia Ischemic gut Ischemic heart disease Myocardial Infarction Pulmonary embolism Pulmonary hypertension Vasculitis Venous thromboembolism	Hereditary/congenital
Eye	Mechanism Transportation mechanism	Neoplastic Benign neoplasm Endocrine neoplasm Female genital neoplasm Gastrointestinal neoplasm Heme/immunology neoplasm Leukemia Lymphoma Male genital neoplasm Metastasis Musculoskeletal/soft tissue neoplasm Neuro neoplasm Primary malignancy Renal/Urinary neoplasm Respiratory neoplasm Skin neoplasm	Heme/immunology Allergy Anemia Heme/immunology neoplasm Hemophilia Leukemia Thrombocytopenia
Misc Adverse effect Alcohol related Allergy Anesthetic related Antidepressant related Awaiting/delayed transfer COVID Cannabis related Cocaine related Decubitus ulcer Diagnosis implying death Exposure Fistula Hallucinogen related Has one Healthcare contact Hemorrhage Iatrogenic Metabolic/nutrition Non-traumatic fracture Observation Organ removal Ostomy Overdose Paralysis Past medical history Poisoning Psychoactive substance NOS related Radiation related Retired Code Rheumatic disease Sedative related Shock Solvent related Spine Stimulant related Transplant	Reproductive Abortion Breast disease Female genital neoplasm Male genital neoplasm Peripartum	Gastrointestinal Cirrhosis GI ulcer Gastroenteritis Gastrointestinal neoplasm Hepatitis Hernia Inflammatory Bowel Disease Intra-abdominal infection Ischemic gut Liver disease Liver failure Pancreas disease Pancreatitis Peptic ulcer	Musculoskeletal/soft tissue Hernia Joint/ligament trauma Muscle problem Muscles/tendon trauma Musculoskeletal/soft tissue neoplasm Osteomyelitis
Psych Addiction Antidepressant related Delirium Dementia Hallucinogen related Opioid related Psychoactive substance NOS related Sedative related Solvent related Stimulant related Withdrawal	Respiratory Asthma Influenza Inhalation Lower respiratory tract infection Pleural abnormalities Pneumoconiosis Pneumonia Pneumothorax Pulmonary embolism Respiratory neoplasm Sleep disorder Tracheostomy Upper respiratory tract infection	Poisoning Acute intoxication Addiction Opioid related Overdose Poisoning by non-pharmaceuticals Stimulant related Withdrawal
Neuro Cerebral Hemorrhage/Stroke Encephalitis Encephalopathy Meningitis Neuro neoplasm Paralysis	Symptom/Sign Pain	Endocrine disorder Adrenal Insufficiency Diabetes Endocrine neoplasm Metabolic/nutrition

Show all ICD10 Subcategories

ICD10 Categories: ANCA-associated Vasculitis (AAV), Abdominal trauma, Abortion, Acute intoxication, Addiction, Adrenal Insufficiency, Adverse effect, Alcohol related, Allergy, Anemia, Anesthetic related, Aneurysm, Antibiotic resistance, Antidepressant related, Aortic Aneurysm, Arrhythmia, Arterial thromboembolism, Asthma, Atherosclerosis, Awaiting/delayed transfer, Bacteria, Benign neoplasm, Breast disease, Burn, COVID, Cannabis related, Cardiac septum problem, Cardiovascular, Cerebral Hemorrhage/Stroke, Chemical burn, Chronic kidney disease, Cirrhosis, Cocaine related, Decubitus ulcer, Delirium, Dementia, Diabetes, Diagnosis implying death, Double duty pathogen, ENT, Encephalitis, Encephalopathy, Endocrine disorder, Endocrine neoplasm, Exposure, Eye, Female genital neoplasm, Fistula, Fracture, Fungus, GI ulcer, Gastroenteritis, Gastrointestinal, Gastrointestinal neoplasm, Hallucinogen related, Has one, Head trauma, Head trauma (old), Healthcare contact, Heart valve disease, Heme/immunology, Heme/immunology neoplasm, Hemophilia, Hemorrhage, Hepatitis, Hereditary/congenital, Hernia, Hypertension, Hypotension, Iatrogenic, Iatrogenic infection, Iatrogenic mechanism, Imaging, Infection requiring pathogen, Infection with implied pathogen, Infectious disease, Inflammatory Bowel Disease, Influenza, Inhalation, Intra-abdominal infection, Ischemia, Ischemic gut, Ischemic heart disease, Joint/ligament trauma, Leukemia, Liver disease, Liver failure, Lower limb trauma, Lower respiratory tract infection, Lymphoma, Male genital neoplasm, Mechanism, Meningitis, Metabolic/nutrition, Metastasis, Misc, Muscle problem, Muscles/tendon trauma, Musculoskeletal/soft tissue, Musculoskeletal/soft tissue neoplasm... further results

@@ Line 1: / Line 1: @@
 {{ICD10 transition status
-| OldDxArticle = Pneumothorax Iatrogenic
+| OldDxArticle =   Pneumothorax (iatrogenic); Hemothorax (iatrogenic); Significant bleed (iatrogenic)
-|CurrentStatus = needs further review
+|CurrentStatus = reconciled
-| InitialEditorAssigned = Julie Mojica
+| InitialEditorAssigned = not assigned
-| MinimumCombinedCodes =
 }}
 {{ICD10 dx
+| MinimumCombinedCodes =
 | ICD10 Code=T81.2
 | BugRequired=
 }}
+{{ICD10 category|Iatrogenic}}{{ICD10 category|Iatrogenic mechanism}}{{ICD10 category|Misc}}
 == Additional Info ==
-*This includes such an iatrogenic injury to a vessel or organ.
+*Includes such an iatrogenic injury to a vessel or organ.
-*This is one of a number of different types of iatrogenic injury codes (see below). Here are some things to know about them in general:
-**Some of these typically stand alone (e.g. [[Iatrogenic, air embolism, as complication of line/infusion/transfusion/injection]]).
-**For others of these, it is mainly a mechanism (e.g. [[Iatrogenic, infection, following a procedure or surgery, NOS]]), and one should also code the specific injury (in this case, the type of infection).
+{{ICD10 Guideline Iatrogenic Injury}}
+{{ICD10 Guideline Iatrogenic Pneumothorax}}
 == Alternate ICD10s to consider coding instead or in addition ==
-*[[Iatrogenic, air embolism, as complication of line/infusion/transfusion/injection]]
+*This is one of a number of different types of iatrogenic injury codes. Here is information about all of them;  [[Iatrogenic codes in ICD10]]
-*[[Iatrogenic, thromboembolism, as complication of line/infusion/transfusion/injection]]
-*[[Iatrogenic, infection, related to vascular access other than central line]]
-*[[Iatrogenic, transfusion reaction (incompatibility reaction) (any type)]]
-*[[Iatrogenic, hemorrhage or hematoma, related to a procedure or surgery NOS]]
-*[[Iatrogenic, hypotension/shock, postoperative/post-procedural]]
-*[[Iatrogenic, puncture or laceration, related to a procedure or surgery NOS]]
-*[[Iatrogenic, dehiscence or rupture or disruption, surgical wound NOS]]
-*[[Iatrogenic, infection, following a procedure or surgery, NOS]]
-*[[Iatrogenic problem NOS, related to a surgery or procedure, NOS]]
-*[[Iatrogenic, mechanical complication/dysfunction, heart valve prosthesis]]
-*[[Iatrogenic, mechanical complication/dysfunction, cardiac electronic device]]
-*[[Iatrogenic, mechanical complication/dysfunction, dialysis catheter]]
-*[[Iatrogenic, mechanical complication/dysfunction, cardiac or vascular prosthetic device or implant or graft, NOS]]
-*[[Iatrogenic, infection, heart valve prosthesis (incl prosthetic valve endocarditis)]]
-*[[Iatrogenic, infection, cardiac or vascular prosthetic device or implant or graft NOS]]
-*[[Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI)]]
-*[[Iatrogenic, complication NOS, cardiac or vascular prosthetic device or implant or graft]]
-*[[Iatrogenic, mechanical complication/dysfunction, urinary catheter]]
-*[[Iatrogenic, infection, urinary catheter]]
-*[[Iatrogenic, mechanical complication/dysfunction, internal orthopedic prosthetic device or implant or graft or bone device]]
-*[[Iatrogenic, infection, internal orthopedic prosthetic device or implant or graft or bone device]]
-*[[Iatrogenic, mechanical complication/dysfunction, internal prosthetic device or implant or graft NOS]]
-*[[Iatrogenic, infection, internal prosthetic device or implant or graft NOS]]
+{{ListICD10Category | categoryName = Iatrogenic}}
 == Candidate [[Combined ICD10 codes]] ==
-*The specific iatrogenic injury suffered. See above.
+See [[NOS codes in ICD10]] for a list of likely injury sites to use with Iatrogenic injuries.
-{{ICD10 category|Injury/poisoning}}{{ICD10 category|Misc}}
+== Related CCI Codes ==
+{{Data Integrity Check List}}
 == Related Articles ==
 {{Related Articles}}
 {{ICD10 footer}}
 {{EndPlaceHolder}}

Iatrogenic, puncture or laceration, related to a procedure or surgery NOS: Difference between revisions

Latest revision as of 12:02, 2021 June 23

Contents

Additional Info

Iatrogenic injuries

Guideline for Iatrogenic Pneumothorax

Alternate ICD10s to consider coding instead or in addition

Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (automatic list)

Related Articles

Navigation menu

Iatrogenic, puncture or laceration, related to a procedure or surgery NOS: Difference between revisions

Latest revision as of 12:02, 2021 June 23

Additional Info

Iatrogenic injuries

Guideline for Iatrogenic Pneumothorax

Alternate ICD10s to consider coding instead or in addition

Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (automatic list)

Related Articles

Navigation menu

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