PDx: L02.213 (Cutaneous abscess of chest wall)
SDx: B95.61 (Methicillin susceptible staphylococcus aureus infection as the cause of diseases elsewhere classified)
PCS: 0H95X0Z (Drainage of chest skin with drainage device, external)
To Locate Dx Codes:
- L02.213: Index > Abscess > trunk > chest wall > Tabular to verify and check for instructional notes, guidelines > Use additional code to identify infectious agent (B95-B97)
- B95.61: Index > Infection, infected, infective > bacterial > as cause of disease elsewhere classified > Staphylococcal (methicillin susceptible) > aureus > Tabular to verify and check for notes, instructions.
Feedback for Diagnosis Code:
- B95.61: Codes in categories B95-B97 are intended as supplementary or additional codes to identify the infectious agent(s) in diseases elsewhere classified. These codes should never be used as the PDx or first-listed diagnosis code. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition. Hence, code B95.61 is sequenced as a secondary diagnosis.
To Locate Px Code: PCS Index > Incision, abscess > see Drainage > Skin > chest > 0H95 > go to table 0H9 and then go across the row to assign the remaining characters: Drainage of chest skin with drainage device, external
Feedback, Values for code 0H95X0Z:
- Drainage, the root operation, is defined as “Taking or letting out fluids and/or gases from a body part.” The leaking purulent fluid may continue to drain postprocedurally.
- Guidelines 6.2/Drainage: A separate procedure to put in a drainage device is coded to the root operation Drainage with the device value Drainage Device. In addition to our scenario, another example of drainage is insertion of chest tube (pleural) catheter for drainage.
- Body System: The most efficient was to use the PCS index is to first try to locate the code under its main term, Drainage. After you locate the main term Drainage, the 2nd step is to go the body system, Skin and Breast.
- Approach: This one is so easy. Table 0H9 lists only one value for Approach, External. Nice not to have to make a decision. External is defined as “Procedures performed directly on the skin and procedures performed indirectly by force (fracture reduction.”) Application of force is not relevant to this procedure. Accessing the site didn’t require an incision, instrumentation, et al.