E/M Coding, Documentation, and EMR Tips | Join Webinar & Earn 1 AAPC CEU Register Now Only a Few Days Left!
Orthopedic Coding Alert

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?

Tennessee Subscriber

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.

Get 14-Day Fully-Functional Free Trial of Physician Coder

Get access to all your specialty alerts and archived articles along with some comprehensive tools including:
  • Code Search for CPT®, HCPCS, ICD-9 and ICD-10
  • CCI Edits Checker
  • Part B Fees, MUEs
  • CPT-ICD-9 CrossRef
  • CPT® ↔ ICD-9 ↔ ICD-10 CM Crosswalk
  • LCD/NCD Lookup
  • CMS 1500 Claims Scrubber
  • NDC ↔ CPT/HCPCS CrossReference
First Name: *
Last Name: *
User Name: *
E-mail: *
Phone: *
Choose Speciality*
Please enter the characters shown in box*