Valid for Submission
S40.269D is a billable diagnosis code used to specify a medical diagnosis of insect bite (nonvenomous) of unspecified shoulder, subsequent encounter. The code S40.269D 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 S40.269D might also be used to specify conditions or terms like animal bite of back, animal bite of shoulder, insect bite, nonvenomous, of back, insect bite, nonvenomous, of shoulder, insect bite, nonvenomous, of shoulder and upper arm, infected , insect bite, nonvenomous, of upper arm, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
S40.269D is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like insect bite (nonvenomous) of unspecified shoulder. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.
Unspecified diagnosis codes like S40.269D are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
The appropriate 7th character is to be added to each code from block Superficial injury of shoulder and upper arm (S40). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Animal bite of back
- Animal bite of shoulder
- Insect bite, nonvenomous, of back
- Insect bite, nonvenomous, of shoulder
- Insect bite, nonvenomous, of shoulder and upper arm, infected
- Insect bite, nonvenomous, of upper arm
- Nonvenomous insect bite of back without infection
- Nonvenomous insect bite of chest wall without infection
- Nonvenomous insect bite of scapular region without infection
- Nonvenomous insect bite of shoulder with infection
- Nonvenomous insect bite of shoulder without infection
- Nonvenomous insect bite of upper arm with infection
- Superficial injury of back without infection
- Superficial injury of shoulder and upper arm
- Superficial injury of shoulder with infection
- Superficial injury of shoulder without infection
Diagnostic Related Groups - MS-DRG Mapping
Present on Admission (POA)
Convert S40.269D to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S40.269D 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.
Information for Patients
Insect Bites and Stings
Also called: Bug bites
Most insect bites are harmless, though they sometimes cause discomfort. Bee, wasp, and hornet stings and fire ant bites usually hurt. Mosquito and flea bites usually itch. Insects can also spread diseases. In the United States, some mosquitoes spread West Nile virus. Travelers outside the United States may be at risk for malaria and other infections.
To prevent insect bites and their complications
- Don't bother insects
- Use insect repellant
- Wear protective clothing
- Be careful when you eat outside because food attracts insects
- If you know you have severe allergic reactions to insect bites and stings (such as anaphylaxis), carry an emergency epinephrine kit
- Anaphylaxis (Medical Encyclopedia)
- Bee poison (Medical Encyclopedia)
- Fire ants (Medical Encyclopedia)
- Fleas (Medical Encyclopedia)
- Insect bites and stings (Medical Encyclopedia)
- Wasp sting (Medical Encyclopedia)
[Learn More in MedlinePlus]