S55.299S - Other specified injury of vein at forearm level, unspecified arm, sequela

Version 2023

ICD-10:	S55.299S
Short Description:	Oth injury of vein at forearm level, unsp arm, sequela
Long Description:	Other specified injury of vein at forearm level, unspecified arm, sequela
Status:	Valid for Submission
Version:	ICD-10-CM 2023
Code Classification:	Injury, poisoning and certain other consequences of external causes (S00–T98) Injuries to the elbow and forearm (S50-S59) Injury of blood vessels at forearm level (S55)

1. Coding Guidelines
2. Tabular List of Diseases and Injuries
3. Diagnostic Related Groups - MS-DRG Mapping
4. Present on Admission (POA)
5. Convert to ICD-9 Code
6. Patient Education
7. Related Codes Browser
8. Code History

S55.299S is a billable ICD-10 code used to specify a medical diagnosis of other specified injury of vein at forearm level, unspecified arm, sequela. The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

S55.299S is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like other specified injury of vein at forearm level unspecified arm. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.

Unspecified diagnosis codes like S55.299S 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.

Coding Guidelines

The appropriate 7th character is to be added to each code from block Injury of blood vessels at forearm level (S55). Use the following options for the aplicable episode of care:

A - initial encounter
D - subsequent encounter
S - sequela

Diagnostic Related Groups - MS-DRG Mapping

The is diagnosis code is grouped in the following groups for version MS-DRG V40.0 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 10/01/2022 through 09/30/2023.

MS-DRG	MS-DRG Title	MCD	Relative Weight
299	PERIPHERAL VASCULAR DISORDERS WITH MCC	05	1.538
300	PERIPHERAL VASCULAR DISORDERS WITH CC	05	1.0311
301	PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC	05	0.7162

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Present on Admission (POA)

S55.299S is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

CMS POA Indicator Options and Definitions

POA Indicator Code	POA Reason for Code	CMS will pay the CC/MCC DRG?
Y	Diagnosis was present at time of inpatient admission.	YES
N	Diagnosis was not present at time of inpatient admission.	NO
U	Documentation insufficient to determine if the condition was present at the time of inpatient admission.	NO
W	Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.	YES
1	Unreported/Not used - Exempt from POA reporting.	NO

Convert to ICD-9 Code

Source ICD-10 Code		Target ICD-9 Code
S55.299S		908.3 - Late eff inj periph vess
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education

Arm Injuries and Disorders

Of the 206 bones in your body, three of them are in your arm: the humerus, radius, and ulna. Your arms are also made up of muscles, joints, tendons, and other connective tissue. Injuries to any of these parts of the arm can occur during sports, a fall, or an accident.

Types of arm injuries include :

Tendinitis and bursitis
Sprains
Dislocations
Fractures (broken bones)
Nerve problems
Osteoarthritis

You may also have problems or injure specific parts of your arm, such as your hand, wrist, elbow, or shoulder.

[Learn More in MedlinePlus]

Vascular Diseases

What are vascular diseases?

Your vascular system is your body's network of blood vessels. It includes your:

Arteries, which carry oxygen-rich blood from your heart to your tissues and organs
Veins, which carry the blood and waste products back to your heart
Capillaries, which are tiny blood vessels that connect your small arteries to your small veins. The walls of the capillaries are thin and leaky, to allow for an exchange of materials between your tissues and blood.

Vascular diseases are conditions which affect your vascular system. They are common and can be serious. Some types include:

Aneurysm - a bulge or "ballooning" in the wall of an artery
Atherosclerosis - a disease in which plaque builds up inside your arteries. Plaque is made up of fat, cholesterol, calcium, and other substances found in the blood.
Blood clots, including deep vein thrombosis and pulmonary embolism
Coronary artery disease and carotid artery disease, diseases that involve the narrowing or blockage of an artery. The cause is usually a buildup of plaque.
Raynaud's disease - a disorder that causes the blood vessels to narrow when you are cold or feeling stressed
Stroke - a serious condition that happens when blood flow to your brain stops.
Varicose veins - swollen, twisted veins that you can see just under the skin
Vasculitis - inflammation of the blood vessels

What causes vascular diseases?

The causes of vascular diseases depend on the specific disease. These causes include:

Genetics
Heart diseases such as high cholesterol and high blood pressure
Infection
Injury
Medicines, including hormones

Sometimes the cause is unknown.

Who is at risk for vascular diseases?

The risk factors for vascular diseases can vary, depending on the specific disease. But some of the more common risk factors include:

Age - your risk of some diseases goes up as you get older
Conditions that can affect the heart and blood vessels, such as diabetes or high cholesterol
Family history of vascular or heart diseases
Infection or injury that damages your veins
Lack of exercise
Obesity
Pregnancy
Sitting or standing still for long periods of time
Smoking

What are the symptoms of vascular diseases?

The symptoms for each disease are different.

How are vascular diseases diagnosed?

To make a diagnosis, your health care provider will do a physical exam and ask about your symptoms and medical history. You may have imaging tests and/or blood tests.

How are vascular diseases treated?

Which treatment you get depends on which vascular disease you have and how severe it is. Types of treatments for vascular diseases include:

Lifestyle changes, such as eating a heart-healthy diet and getting more exercise
Medicines, such as blood pressure medicines, blood thinners, cholesterol medicines, and clot-dissolving drugs. In some cases, providers use a catheter to send medicine directly to a blood vessel.
Non-surgical procedures, such as angioplasty, stenting, and vein ablation
Surgery

Can vascular diseases be prevented?

There are steps you can take to help prevent vascular diseases:

Make healthy lifestyle changes, such as eating a heart-healthy diet and getting more exercise
Don't smoke. If you are already a smoker, talk to your health care provider for help in finding the best way for you to quit.
Keep your blood pressure and cholesterol in check
If you have diabetes, control your blood sugar
Try not to sit or stand for up long periods of time. If you do need to sit all day, get up and move around every hour or so. If you traveling on a long trip, you can also wear compression stockings and regularly stretch your legs.