Documentation & Coding Risks
Avoid these common issues when documenting Soft Tissue Injury Screening.
Frequently Asked Questions
Sequence the scar code (L90.5) first, followed by the original injury code with a 7th character 'S' (e.g., S91.322S).
Use T14.8XXA only if the injury site is undocumented or multiple sites are involved. Specific S codes should be used when the injury site is documented.
Specify 'History of radiation to [site]' and use L59.8 for necrosis, while S/T codes are for trauma.
Related condition guides
Documentation requirements, coding pitfalls and FAQs for conditions coded with S91.322A.