Abrasion or friction burn of shoulder and upper arm, infected

This code signifies a superficial injury to the skin of the shoulder or upper arm, caused by rubbing or scraping, which has subsequently developed an infection. It indicates that the initial skin integrity breach has led to a secondary bacterial or other microbial invasion.

Apply this code when documentation specifies an abrasion or friction burn on the shoulder or upper arm, and there is clear evidence of infection (e.g., pus, erythema, warmth, pain, or physician's note stating "infected"). This is typically seen in cases where a minor skin injury was not properly cared for or became contaminated.

• Ensure the documentation explicitly states "infected" or provides clear signs/symptoms of infection. Without infection, a different code for abrasion/friction burn would be appropriate.
• Do not use this code for open wounds that are not specifically described as abrasions or friction burns.
• Consider an additional code for the specific infectious agent if identified and documented.