Find comprehensive information on Right Below-Knee Amputation diagnosis, including clinical documentation tips, ICD-10 codes (Z89.414, Z89.411, S88.701A, S88.701D, S88.701S), medical coding guidelines, postoperative care, and prosthetic management. Learn about amputation levels, residual limb care, and rehabilitation strategies for optimal patient outcomes. This resource is designed for healthcare professionals, medical coders, and clinicians seeking accurate and up-to-date information on Right Below-Knee Amputation.
Also known as
Acquired absence of limb(s)
Covers acquired absence of right lower leg due to amputation.
Acquired absence of other organs
Includes acquired absence of various body parts, including limbs.
Injury of lower leg
May be relevant for initial trauma leading to amputation, if applicable.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the amputation traumatic?
Yes
Current encounter for initial treatment?
No
Diabetes related?
When to use each related code
Description |
---|
Right below-knee amputation |
Right transtibial amputation |
Right lower leg amputation |
Patient presents with a right below-knee amputation (BKA), status post surgical amputation performed on [Date of amputation]. The amputation level is [Specify level, e.g., transtibial, long transtibial, short transtibial]. The indication for amputation was [Specific reason for amputation, e.g., peripheral artery disease, diabetic foot ulcer, trauma, infection]. Current complaints include [Patient's current symptoms, e.g., phantom limb pain, residual limb pain, difficulty with mobility, wound healing issues]. Physical examination reveals a well-healed surgical incision with [Describe incision characteristics, e.g., no signs of infection, well-approximated edges, presence of staples or sutures]. Residual limb volume is [Measurement and comparison to previous measurements, if applicable]. The patient's current prosthetic fitting is [Describe prosthetic type and fit if applicable, e.g., patellar tendon-bearing socket, total surface bearing socket]. Neurovascular status of the residual limb is intact, with palpable distal pulses in the [Specify artery, e.g., popliteal, posterior tibial]. Pain management includes [Medications and other therapies, e.g., Gabapentin, pregabalin, mirror therapy, transcutaneous electrical nerve stimulation (TENS)]. The patient is currently [State current functional status, e.g., ambulating with a walker, using a wheelchair, participating in physical therapy]. Plan includes ongoing physical therapy for gait training and strengthening, occupational therapy for activities of daily living adaptation, and continued monitoring of residual limb health and prosthetic fit. ICD-10 code [Appropriate ICD-10 code, e.g., Z89.414, acquired absence of right lower leg below knee] is assigned. The patient is scheduled for follow-up in [Timeframe] to assess prosthetic fit, residual limb volume, pain management, and progress with rehabilitation.