I have always erred on the side of caution and never code it as an open wound unless the dictation clearly states that the skin was broken. I am a firm believer in, "when in doubt, leave it out"..."if they don't say it, we can't know it". I always imagine sitting in the witness box, being sworn in and being asked, "where does it say that the bite broke the skin?" I like life on the outside and don't plan going on the inside if I can help it.
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