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Personal history of retained foreign body fully removed

ICD10CM code

Certainly! Here's a markdown-styled text for the condition "Personal history of retained foreign body fully removed" with ICD code Z87.821:


Name of the Condition

  • Personal History of Retained Foreign Body Fully Removed
  • Medical term: Z87.821

Summary

This condition refers to a past medical history where a foreign object that was present within the body (such as surgical instruments, bullets, or fragments from injuries) has been successfully identified and removed. It is not an ongoing condition, but a note in the patient's medical history that may have implications for future medical care.

Causes

  • It is not caused by genetics or lifestyle factors, but rather by previous incidents such as surgeries, accidents, or injuries where a foreign body was introduced to the body and subsequently removed.

Risk Factors

  • History of surgeries, especially complex procedures.
  • Traumatic events or accidents.
  • Occupational hazards involving exposure to sources of potential foreign bodies.

Symptoms

  • As the foreign body has been fully removed, there are typically no current symptoms related to the retained foreign object.

Diagnosis

  • Previously diagnosed via imaging techniques such as X-rays, CT scans, or MRIs, which identified the foreign body before its removal.

Treatment Options

  • Surgical or non-surgical removal of the foreign body, which has already occurred.
  • This ICD code merely indicates that the foreign body is part of the patient's historical medical record and does not pertain to ongoing treatment.

Prognosis and Follow-Up

  • Generally excellent prognosis once the foreign body is removed.
  • Follow-up care primarily focuses on monitoring for any residual effects or complications from the original incident or removal procedure.

Complications

  • If complications arise, they are typically related to the original presence of the foreign body or its removal process, such as infections or tissue damage before removal.

Lifestyle & Prevention

  • Preventive measures are not applicable, as this code merely indicates a past event.
  • Appropriate safety measures in occupations or activities prone to accidents can help prevent such incidents.

When to Seek Professional Help

  • If complications related to the history of a foreign body arise, such as infections or unexplained pain at the site of prior removal, medical consultation is advised.

Additional Resources

Tips for Medical Coders

  • Ensure the foreign body has been completely removed before using this code.
  • Avoid coding errors by not using Z87.821 for ongoing foreign body conditions.
  • Cross-reference with surgical records to ensure accuracy.

Medical Policies and Guidelines for Personal history of retained foreign body fully removed

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