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Z89.622
ICD-10-CM
Left Above-Knee Amputation

Find comprehensive information on Left Above-Knee Amputation, including clinical documentation, medical coding, ICD-10 codes Z89.414, Z89.415, and related healthcare resources. Learn about post-operative care, prosthetic fitting, rehabilitation, and support for patients with left AKA amputation. This resource offers guidance for healthcare professionals on accurate diagnosis coding and documentation for amputations above the knee. Explore relevant medical terminology and best practices for managing left above-knee amputations in a clinical setting.

Also known as

Left AKA
Left Above-Knee Amputation

Diagnosis Snapshot

Key Facts
  • Definition : Surgical removal of the left leg above the knee joint.
  • Clinical Signs : Absent left leg below the knee, surgical scar, possible phantom limb pain.
  • Common Settings : Trauma, peripheral artery disease, infection, tumor, elective amputation.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC Z89.622 Coding
Z89.41-

Acquired absence of left leg above knee

Codes specifically for acquired absence of left leg above knee.

Z89.4-

Acquired absence of leg above knee

Covers acquired absence of leg above knee, regardless of side.

Z89.-

Acquired absence of limbs

Broader category for acquired absence of limbs, including upper and lower.

S89.-

Injury of lower leg

May be relevant for initial injury leading to amputation if documented.

Code-Specific Guidance

Decision Tree for

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

Is the amputation traumatic?

  • Yes

    Amputation at/above knee?

  • No

    Amputation at/above knee?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Left above-knee amputation
Left disarticulation of knee
Left below-knee amputation

Documentation Best Practices

Documentation Checklist
  • Left above-knee amputation: ICD-10 Z89.41, validate cause
  • Document amputation level: Precise anatomical location
  • Surgical technique details for AKA: Include laterality
  • Prosthetic fitting considerations documented
  • Post-op complications, pain management, rehab plan

Coding and Audit Risks

Common Risks
  • Unspecified Level

    Coding lacks specificity regarding amputation level (e.g., through femur, knee disarticulation). Impacts reimbursement and data accuracy.

  • Causative Dx Missing

    Underlying cause (e.g., trauma, PVD) not documented or coded. Essential for accurate reporting and quality metrics.

  • Laterality Neglect

    Missing or incorrect laterality (left) may lead to billing errors and skewed statistical analysis.

Mitigation Tips

Best Practices
  • Accurate ICD-10 coding: Z89.419
  • Precise documentation: Level of amputation
  • Thorough op-report: Surgical technique
  • Timely post-op care notes: Wound healing
  • Prosthetic fitting details for proper billing

Clinical Decision Support

Checklist
  • Confirm amputation level: Left, above knee
  • Validate surgical documentation: Procedure performed
  • Check imaging reports: Absence of left knee joint
  • Review post-op notes: Stump condition, pain management
  • Code Z89.41: Acquired absence of left leg above knee

Reimbursement and Quality Metrics

Impact Summary
  • Left Above-Knee Amputation reimbursement hinges on accurate ICD-10 coding (Z89.41-) and procedure codes, impacting DRG assignment and hospital payments.
  • Coding quality directly affects above-knee amputation claims. Errors lead to denials, impacting revenue cycle and reimbursement.
  • Proper coding and documentation of left AKA amputation complications (e.g., infections, phantom limb pain) maximize case mix index and reimbursement.
  • Accurate above-knee amputation data crucial for hospital quality reporting, affecting metrics like length of stay, readmission rates, and patient outcomes.

Streamline Your Medical Coding

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

Quick Tips

Practical Coding Tips
  • ICD-10 Z89.41, validate laterality
  • Check amputation level, LCAK vs AKA
  • Document cause, crucial for coding
  • Review op report, confirm AKA details
  • Consider prosthetics codes, L80.5

Documentation Templates

Patient presents with a left above-knee amputation (AKA), status post surgical amputation performed on [Date of surgery]. The amputation level is specified as above the knee, involving the femur.  The etiology of the amputation is [Specific cause, e.g., traumatic injury, peripheral artery disease, diabetes-related complications, infection, etc.]. Patient reports [Symptoms related to amputation, e.g., phantom limb pain, residual limb pain, difficulty with mobility, etc.].  Physical examination reveals a well-healed surgical site with [Description of scar, e.g., well-approximated edges, no signs of infection, etc.].  Patient's current functional status is [Description of mobility, e.g., ambulatory with prosthesis, wheelchair-dependent, etc.].  Assessment includes left above-knee amputation,  [ICD-10 code for amputation], and [ICD-10 code for underlying cause]. Plan includes [Pain management plan, e.g., medication, physical therapy, etc.], prosthetic fitting and training if appropriate, ongoing monitoring of residual limb health, and patient education regarding amputation care and rehabilitation.  Referral to [Relevant specialists, e.g., prosthetist, physical therapist, occupational therapist, psychologist, etc.] is recommended.  Patient demonstrates understanding of the treatment plan and agrees to follow-up care.