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T14.1XXA
ICD-10-CM
Animal Bite

Learn about Animal Bite diagnosis, including Dog Bite and Cat Bite injuries, focusing on healthcare documentation and medical coding. Find information on Animal Attack treatment, clinical guidelines, and appropriate ICD-10 codes for accurate and efficient medical record keeping. This resource provides essential information for healthcare professionals dealing with animal bite injuries and ensuring proper documentation for optimal patient care and billing.

Also known as

Dog Bite
Cat Bite
Animal Attack

Diagnosis Snapshot

Key Facts
  • Definition : Injury caused by the teeth of an animal, often a dog or cat.
  • Clinical Signs : Puncture wounds, lacerations, bleeding, swelling, pain, redness, risk of infection.
  • Common Settings : Home, outdoors, veterinary clinics, emergency rooms.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC T14.1XXA Coding
W54-W64

Contact with venomous animals and other nonvenomous animals

Covers bites, stings, and other contact with animals.

S00-S99

Injuries to the head

Includes head injuries that may result from an animal bite.

T00-T98

Injuries to unspecified body regions

Includes injuries to areas not specified elsewhere, potentially from animal bites.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is bite on head or neck?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Injury from an animal's teeth.
Skin puncture by a pointed object.
Superficial scratch on skin surface.

Documentation Best Practices

Documentation Checklist
  • Document animal species (dog, cat, etc.)
  • Describe bite location and severity.
  • Document wound characteristics (puncture, laceration).
  • Record first aid/treatment provided.
  • Date and time of bite incident.

Coding and Audit Risks

Common Risks
  • Specificity Lack

    Coding animal bite requires species specification (dog, cat, etc.) for accurate data and reimbursement. Lack of detail leads to coding errors.

  • External Cause Omission

    ICD-10 mandates external cause codes (e.g., place of occurrence) with animal bite diagnoses. Omitting these affects injury analysis and compliance.

  • Complication Miscoding

    Infection or other complications from animal bites need separate codes. Incorrect coding impacts severity reporting and quality metrics.

Mitigation Tips

Best Practices
  • Verify animal bite location, severity, type (e.g., dog, cat, wild). ICD-10: W54, W55
  • Document wound characteristics (puncture, laceration) and treatment. CDI query for clarity.
  • Assess rabies risk. Administer prophylaxis if indicated. ICD-10: Z20.3
  • Thorough documentation improves medical coding accuracy and compliance.
  • Timely wound care reduces infection risk. Document all follow-up visits. E/M coding.

Clinical Decision Support

Checklist
  • Verify animal species/breed if known (ICD-10 W54-W64).
  • Document location, severity, and type of bite (puncture, laceration).
  • Assess rabies risk based on animal type/behavior and local epidemiology.
  • Consider tetanus prophylaxis based on wound characteristics and immunization history.
  • Evaluate for infection and document antibiotic treatment if indicated.

Reimbursement and Quality Metrics

Impact Summary
  • Animal Bite (A) reimbursement hinges on accurate ICD-10 coding (W53-W64) for optimal claim processing.
  • Coding quality impacts Animal Bite (Dog Bite, Cat Bite) claims denials, affecting hospital revenue cycle.
  • Accurate E-codes (E906) with Animal Bite diagnosis improve injury data for public health reporting.
  • Precise documentation of Animal Attack severity influences trauma level assignment and resource allocation.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Frequently Asked Questions

Common Questions and Answers

Q: What are the most effective evidence-based antibiotic prophylaxis strategies for managing infected cat bites in adults?

A: Infected cat bites pose a higher risk of infection due to *Pasteurella multocida*. Current evidence-based guidelines, such as those from the Infectious Diseases Society of America (IDSA), recommend amoxicillin-clavulanate as the first-line antibiotic prophylaxis for infected cat bites in adults. Other options, for patients with penicillin allergies, include doxycycline or moxifloxacin combined with metronidazole. Cultures from wound swabs can help tailor antibiotic therapy. Deep puncture wounds, bites to the hand, or immunocompromised individuals may require more aggressive treatment and intravenous antibiotics. Explore how our wound care protocols can incorporate these latest evidence-based recommendations.

Q: How can I differentiate between a superficial dog bite and one requiring deeper wound exploration and potential debridement in a pediatric patient?

A: Distinguishing between superficial and deep dog bites in children requires a thorough assessment. Factors like wound depth, presence of devitalized tissue, tendon/bone involvement, and signs of infection (e.g., erythema, purulent drainage, lymphangitis) suggest the need for deeper exploration. High-risk anatomical locations like the face, hands, and genitals often warrant surgical consultation. Imaging studies (e.g., ultrasound, X-ray) can help identify foreign bodies or underlying fractures. Pediatric patients require special consideration due to their higher risk of infection and potential for growth plate involvement. Consider implementing our pediatric-specific dog bite assessment protocol to ensure appropriate management.

Quick Tips

Practical Coding Tips
  • Code animal bite injuries with S00-T98
  • Document bite location, severity
  • Specify animal type if known
  • Consider rabies prophylaxis codes
  • Check for infection complications

Documentation Templates

Patient presents with an animal bite, possibly a dog bite or cat bite, sustained on [date].  The location of the bite is [body location, e.g., right hand, left lower leg] and presents as [description of wound, e.g., a puncture wound, a laceration with jagged edges, multiple abrasions].  Surrounding tissue exhibits [signs of infection or inflammation, e.g., erythema, edema, purulent drainage, warmth]. Patient reports [symptoms, e.g., pain level using a pain scale, localized tenderness, paresthesia, limited range of motion]. The incident occurred [circumstances of bite, e.g., while playing with the family dog, during an unprovoked attack by a stray cat].  Patient's tetanus immunization status is [up-to-date, not up-to-date, unknown].  First aid measures included [e.g., irrigation with normal saline, application of a clean dressing].  Differential diagnosis includes cellulitis, infection, rabies, and tetanus.  Treatment plan includes [e.g., wound debridement, prophylactic antibiotics, rabies prophylaxis if indicated, tetanus booster if indicated, pain management with analgesics, follow-up wound care instructions].  Patient education provided on wound care, signs of infection, and the importance of follow-up. Medical billing codes considered include appropriate ICD-10 codes for animal bite (W54.0XXA - W54.8XXA) and CPT codes for wound repair or other procedures performed. This documentation supports medical necessity for the services rendered and is compliant with EHR documentation standards.
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