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Thread: dx help, pls

  1. #1

    Default dx help, pls

    AAPC: Back to School
    Can anyone explain the difference between code 864.05 (laceration liver without open wound) vs. 864.15 (laceration liver w open wound).

    A patient stabs himself & a laceration his stomach and liver results. Is this automatically "open wound" since organ has been lacerated??

    Thank you.

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    An open wound is a wound open to the surface, like an open stomach wound that also lacerates the liver, a liver laceration without an open wound can occur say from a massive blow to the abdomen that while it does not penetrate the skin can cause lacerations to internal organs such as the liver.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3


    great explanation! thx

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