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Z89.511
ICD-10-CM
Right Below-Knee Amputation

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

Right BKA
Right Leg Amputation Below Knee

Diagnosis Snapshot

Key Facts
  • Definition : Surgical removal of the leg below the knee joint.
  • Clinical Signs : Absent lower leg, surgical scar, potential phantom limb pain.
  • Common Settings : Trauma, peripheral vascular disease, infection, diabetes complications.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC Z89.511 Coding
Z89.4-

Acquired absence of limb(s)

Covers acquired absence of right lower leg due to amputation.

Z89.-

Acquired absence of other organs

Includes acquired absence of various body parts, including limbs.

S88.-

Injury of lower leg

May be relevant for initial trauma leading to amputation, if applicable.

Code-Specific Guidance

Decision Tree for

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?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Right below-knee amputation
Right transtibial amputation
Right lower leg amputation

Documentation Best Practices

Documentation Checklist
  • Below-knee amputation documentation: ICD-10 Z89.41
  • Confirm laterality: Right below-knee amputation
  • Amputation level: Specify anatomical location
  • Reason for amputation: Document underlying cause
  • Pre-op and post-op diagnoses required

Mitigation Tips

Best Practices
  • ICD-10 Z89.419, validate prior dx for specificity.
  • Document amputation level, residual limb details for Z89.419.
  • POA indicators Y9A-Y9C, operative note crucial.
  • Query surgeon for clarity, avoid unspecified codes.
  • Coding, CDI: Review op report, path for laterality.

Clinical Decision Support

Checklist
  • Confirm documented indication: trauma, ischemia, infection, etc.
  • Verify laterality: right below-knee amputation specified
  • Check amputation level: below knee, not through/above knee
  • Review imaging/operative report confirming procedure
  • Ensure documentation supports Z89.414 (ICD-10-CM code)

Reimbursement and Quality Metrics

Impact Summary
  • Right Below-Knee Amputation reimbursement hinges on accurate ICD-10 coding (e.g., S88.1-) and procedure codes impacting DRG assignment and payment.
  • Coding quality directly affects below-knee amputation claims denial rates, impacting revenue cycle and hospital finances.
  • Accurate POA indicators for traumatic amputations are crucial for proper reimbursement and quality reporting metrics.
  • Timely and specific documentation of amputation level and complications influences hospital quality scores and reimbursement.

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 Z89.414 BKA
  • Check amputation level doc
  • Confirm laterality: Right
  • Coding: trauma vs. disease
  • POA indicator crucial

Documentation Templates

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.