You Be the Coder: Code Amputation Complication as Primary Dx- Published on Sun, Jan 01, 2006
Question: Our surgeon admitted a patient for revision of an amputation stump following hematoma formation due to bone bleeding. Should we report 998.12 as the diagnosis code, or would 997.69 be more appropriate?
Answer: You should report 997.69 (Amputation stump complication; other) as your primary diagnosis. According to the American Hospital Association-s ICD-9 Coding Clinic for the fourth quarter of 1995, -Category 997.6, Amputation stump complication, is for use to describe all complications of amputation stumps, whether due to a current amputation or to the late effect of an amputation.-
You should report 998.12 (Hematoma complicating a procedure) as a secondary diagnosis to show the insurer that the surgeon had to deal with a hematoma during the revision.