T85.613S Breakdown (mechanical) of artificial skin graft and decellularized allodermis, sequela

ICD10CM code

#### Name of the Condition
- Breakdown (mechanical) of artificial skin graft and decellularized allodermis, sequela

#### Summary
- This condition refers to mechanical failure or deterioration of a previously applied artificial skin graft or decellularized allodermis, which is skin tissue derived from donors, for patients who have undergone previous skin graft surgeries. "Sequela" indicates it is a result of a past condition or surgery.

#### Causes
- Causes can include the wear and tear of the graft or allodermis over time, improper initial placement, rejection by the body’s immune system, or an excessive physical strain on the grafted area.

#### Risk Factors
- Risk factors include a history of surgical skin grafts, underlying health conditions that affect tissue integrity (such as diabetes), infection, and repeated trauma or pressure on the graft site.

#### Symptoms
- Symptoms may include localized pain, redness, swelling, possible discharge or seepage from the site, and visible breakdown or loosening of the graft.

#### Diagnosis
- Diagnosis typically involves a physical examination of the graft site, review of medical history, and imaging tests such as MRI or ultrasound to assess any mechanical failure.

#### Treatment Options
- Treatments include surgical repair or replacement of the graft, use of protective dressings, administration of antibiotics if infection is present, and physical therapy to strengthen surrounding tissues.

#### Prognosis and Follow-Up
- The prognosis depends on the extent of the breakdown and successful management. Regular follow-up appointments are crucial for monitoring skin health and graft condition to prevent further issues.

#### Complications
- If untreated, complications can include infection, further tissue breakdown, and potential loss of the graft, leading to more extensive surgical intervention.

#### Lifestyle & Prevention
- Lifestyle adjustments might include avoiding activities that put undue stress on the graft, maintaining good overall skin health, and following medical advice on wound care post-surgery. 

#### When to Seek Professional Help
- Immediate medical attention should be sought if there are sudden changes in the graft area, such as increased pain, swelling, discharge, or fevers, which may indicate infection or significant tissue failure.

#### Additional Resources
- American Academy of Dermatology (AAD) [aad.org](https://www.aad.org)
- Wound Healing Society (WHS) [woundheal.org](http://woundheal.org)

#### Tips for Medical Coders
- Ensure to differentiate between initial mechanical breakdown and sequel conditions to accurately code using **T85.613S**. 
- Be cautious of documentation errors, and verify the sequela context, as coding can differ if it is not a result of a prior condition.

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