2021 ICD-10-CM Code S00.532A
Contusion of oral cavity, initial encounter
Valid for Submission
S00.532A is a billable diagnosis code used to specify a medical diagnosis of contusion of oral cavity, initial encounter. The code S00.532A is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code S00.532A might also be used to specify conditions or terms like contusion of alveolar border of body of mandible, contusion of buccal mucosa, contusion of cheek, contusion of floor of mouth, contusion of gingivae , contusion of hard palate, etc.
S00.532A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like contusion of oral cavity. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.
The code S00.532A is linked to some Quality Measures as part of Medicare's Quality Payment Program (QPP). When this code is used as part of a patient's medical record the following Quality Measures might apply: Emergency Medicine: Emergency Department Utilization Of Ct For Minor Blunt Head Trauma For Patients Aged 2 Through 17 Years.
| ICD-10: | S00.532A |
| Short Description: | Contusion of oral cavity, initial encounter |
| Long Description: | Contusion of oral cavity, initial encounter |
Code Classification
Coding Guidelines
The appropriate 7th character is to be added to each code from block Superficial injury of head (S00). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Contusion of alveolar border of body of mandible
- Contusion of buccal mucosa
- Contusion of cheek
- Contusion of floor of mouth
- Contusion of gingivae
- Contusion of hard palate
- Contusion of intraoral surface of lip
- Contusion of lip
- Contusion of mandibular attached gingiva
- Contusion of mandibular joint area
- Contusion of mandibular vestibule
- Contusion of maxillary attached gingiva
- Contusion of maxillary vestibule
- Contusion of mouth
- Contusion of oral alveolar mucosa
- Contusion of oral cavity
- Contusion of oropharynx
- Contusion of palate
- Contusion of pharynx
- Contusion of salivary gland
- Contusion of soft palate
- Contusion of tongue
- Contusion of tonsil
- Hematoma of oral cavity
- Injury of salivary apparatus
- Injury of salivary gland
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code S00.532A is grouped in the following groups for version MS-DRG V38.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2020 through 09/30/2021.
Convert S00.532A to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S00.532A its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 920 - Contusion face/scalp/nck (Approximate Flag)
Quality Payment Program Measures
When code S00.532A is part of the patient's diagnoses the following Quality Measures apply and affect reimbursement. The objective of Medicare's Quality Measures is to improve patient care by making it more: effective, safe, efficient, patient-centered and equitable.
| Quality Measure | Description | Quality Domain | Measure Type | High Priority | Submission Methods |
|---|---|---|---|---|---|
| Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 2 Through 17 Years | Percentage of emergency department visits for patients aged 2 through 17 years who presented with a minor blunt head trauma who had a head CT for trauma ordered by an emergency care provider who are classified as low risk according to the Pediatric Emergency Care Applied Research Network (PECARN) prediction rules for traumatic brain injury. | Efficiency and Cost Reduction | Efficiency | YES | Claims, Registry |
Information for Patients
Bruises
Also called: Contusion, Ecchymoses
A bruise is a mark on your skin caused by blood trapped under the surface. It happens when an injury crushes small blood vessels but does not break the skin. Those vessels break open and leak blood under the skin.
Bruises are often painful and swollen. You can get skin, muscle and bone bruises. Bone bruises are the most serious.
It can take months for a bruise to fade, but most last about two weeks. They start off a reddish color, and then turn bluish-purple and greenish-yellow before returning to normal. To reduce bruising, ice the injured area and elevate it above your heart. See your health care provider if you seem to bruise for no reason, or if the bruise appears to be infected.
- Bleeding into the skin (Medical Encyclopedia)
- Bruise (Medical Encyclopedia)
[Learn More in MedlinePlus]
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)