Bitten by goose, subsequent encounter

This code indicates that a patient has sustained an injury from a goose bite and is presenting for follow-up care after the initial treatment. This could involve wound checks, dressing changes, antibiotic management, or evaluation of complications arising from the initial bite.

Apply this code when a patient returns for subsequent medical attention related to a goose bite that was previously treated. This includes visits for infection monitoring, wound debridement, or assessment of healing progress. This code is appropriate for any encounter following the initial presentation for the bite.

• Ensure documentation clearly indicates this is not the initial encounter for the goose bite.
• Always sequence this external cause code after the primary diagnosis code for the bite wound itself (e.g., an open wound code).
• Verify the "D" seventh character is appropriate for subsequent care, as opposed to "A" for initial or "S" for sequela.