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Abrasion, left lower leg, subsequent encounter
ICD10CM code
#### Name of the Condition
- Abrasion, left lower leg, subsequent encounter
#### Summary
- An abrasion is a superficial injury where the top layer of skin has been scraped or rubbed off. This condition pertains to repeated medical attention for an abrasion on the left lower leg, often involving follow-up care after an initial treatment.
#### Causes
- Abrasions typically occur due to friction or trauma against a rough surface, such as falling or scraping against pavement or other coarse materials.
#### Risk Factors
- Participating in sports or activities that involve running or falling, such as soccer or biking.
- Inadequate protective gear during physical activities.
- Children and outdoor workers may be at increased risk due to the nature of their activities.
#### Symptoms
- Raw, red skin on the left lower leg.
- Possible mild bleeding or oozing.
- Tenderness, soreness, or burning sensation in the affected area.
#### Diagnosis
- Primarily through a physical examination.
- Analysis of the wound to ensure no foreign objects are embedded and assess the risk of infection.
#### Treatment Options
- Cleaning the wound to remove debris and reduce infection chances.
- Application of antibiotic ointment to promote healing and avoid infection.
- Use of sterile bandages to protect the wound from additional trauma.
- Pain relief through over-the-counter medications if necessary.
#### Prognosis and Follow-Up
- Abrasions typically heal within a few days to weeks, depending on severity.
- Regular follow-up visits ensure proper healing and monitor for signs of infection.
#### Complications
- Infection if the wound is not kept clean and monitored regularly.
- Potential scarring, particularly if the wound becomes infected.
#### Lifestyle & Prevention
- Wearing appropriate protective clothing and gear during activities prone to falls.
- Keeping skin moisturized to enhance resilience.
- Prompt cleaning and care of any minor scrapes or cuts to prevent complications.
#### When to Seek Professional Help
- If there are signs of infection, such as increased redness, swelling, warmth, pus, or fever.
- If the wound does not heal within a usual timeframe or worsens.
#### Additional Resources
- [American Academy of Dermatology Association](https://www.aad.org/)
- [Centers for Disease Control and Prevention (CDC)](https://www.cdc.gov/)
#### Tips for Medical Coders
- Ensure correct identification of this specific encounter as a subsequent encounter code.
- Verify documentation for detailed location (left lower leg) and condition stage (subsequent care), avoiding confusion with initial encounters or other body parts.