Icd 10 abdominal wound infection

ICD-10-CM Codes. S00-T88. S30-S39. S31-. Open wound of abdominal wall with penetration into peritoneal cavity S31.6. Open wound of abdominal wall with penetration into peritoneal cavity S31.6-. S31.6 Open wound of abdominal wall with penetration into peritoneal cavity. S31.60 Unspecified open wound of abdominal wall with penetration …

... 10. It includes updates that ... (Urinary tract infection, site not specified) code E10– ... related to surgical and other procedures, e.g. surgical wound ...ICD 10 code for Unspecified open wound of abdominal wall, unspecified quadrant without penetration into peritoneal cavity, subsequent encounter. ... This is the American ICD-10-CM version of S31.109D - other international versions of ICD-10 S31.109D may differ. ... wound infection; Type 1 Excludes. traumatic amputation of part of abdomen, lower ...ICD-10-CM Diagnosis Code S51. Open wound of elbow and forearm. any associated wound infection; open fracture of elbow and forearm (S52.- with open fracture 7th character); traumatic amputation of elbow and forearm (S58.-); open wound of wrist and hand (S61.-) ICD-10-CM Diagnosis Code S71. Open wound of hip and thigh.A41.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM A41.9 became effective on October 1, 2023. This is the American ICD-10-CM version of A41.9 - other international versions of ICD-10 A41.9 may differ. Applicable To.Peritoneal abscess. K65.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM K65.1 became effective on October 1, 2023. This is the American ICD-10-CM version of K65.1 - other international versions of ICD-10 K65.1 may differ.Abdominal cavity infections commonly arise following the inflammation or disruption of the gastrointestinal tract. Less frequently, they might originate from the gynecologic or urinary tract. Abdominal infections are typically polymicrobial and result in either an intra-abdominal abscess and phlegmon in more localized cases or secondary …Short description: Open wound of abdominal wall w/o penetration into perit cav; The 2024 edition of ICD-10-CM S31.1 became effective on October 1, 2023. This is the American ICD-10-CM version of S31.1 - other international versions of ICD-10 S31.1 may differ.T81.44XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM T81.44XA became effective on October 1, 2023. This is the American ICD-10-CM version of T81.44XA - other international versions of ICD-10 T81.44XA may differ. Reimbursement claims with a date of ...

ICD 10 code for Unspecified open wound of abdominal wall with penetration into peritoneal cavity. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code S31.60. ... Unspecified open wound of abdominal wall with penetration into peritoneal cavity. ... wound infection; Type 1 Excludes. traumatic amputation of part of abdomen, lower back …ICD 10 code for Unspecified open wound of abdominal wall, unspecified quadrant without penetration into peritoneal cavity, subsequent encounter. ... This is the American ICD-10-CM version of S31.109D - other international versions of ICD-10 S31.109D may differ. ... wound infection; Type 1 Excludes. traumatic amputation of part of abdomen, lower ...686.9. Unspecified local infection of skin and subcutaneous tissue (exact match) This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 686.9 was previously used, L08.9 is the appropriate modern ICD10 code. ICD 10 code for Unspecified open wound of abdominal wall, left lower quadrant without penetration into peritoneal cavity. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code S31.104. ICD-10-CM Diagnosis Code S30.811A. ... Local infection of the skin and subcutaneous tissue, unsp; Abdominal wall abrasion, with infection; Abdominal wall blister, ...

ICD 10 code for Unspecified open wound of abdominal wall, right upper quadrant with penetration into peritoneal cavity, initial encounter. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code S31.600A. ... wound infection; Type 1 Excludes. traumatic amputation of part of abdomen, lower back and pelvis (S38.2-, S38.3) Type 2 …ICD 10 code for Unspecified open wound of abdominal wall, left lower quadrant without penetration into peritoneal cavity, subsequent encounter. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code S31.104D.ICD 10 code for Unspecified open wound of abdominal wall, right lower quadrant without penetration into peritoneal cavity. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code S31.103. ... This is the American ICD-10-CM version of S31.103 - other international versions of ICD-10 S31.103 may differ. The following code(s) ... wound …ICD-10-CM Code S31.102A ... ICD-10 from 2011 - 2016. S31.102A is a billable ICD code used to specify a diagnosis of unspecified open wound of abdominal wall, epigastric region without penetration into peritoneal cavity, initial encounter. A 'billable code' is detailed enough to be used to specify a medical diagnosis. ... rigidity, and bruising ...ICD-10-CM Diagnosis Code S31.109A [convert to ICD-9-CM] Unspecified open wound of abdominal wall, unspecified quadrant without penetration into peritoneal cavity, initial encounter. Unsp opn wnd abd wall, unsp q w/o penet perit cav, init; Gunshot wound of abdominal wall; Open wound of abdominal wall.Sepsis in adults develops in response to infections that may result from wounds, scrapes, appendicitis, meningitis, pneumonia, urinary tract infections or any other condition that ...

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Note. Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'.This can arise in two main …ICD-10-CM Code for Disruption of external operation (surgical) wound, not elsewhere classified T81.31 ICD-10 code T81.31 for Disruption of external operation (surgical) wound, not elsewhere classified is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .T81.41XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Infct fol a proc, superfic incisional surgical site, init The 2024 edition of ICD-10-CM T81.41XA became effective on October 1, 2023.ICD-10-CM Code S31.109A Unspecified open wound of abdominal wall, unspecified quadrant ... ICD-10 from 2011 - 2016. S31.109A is a billable ICD code used to specify a diagnosis of unspecified open wound of abdominal wall, unspecified quadrant without penetration into peritoneal cavity, initial encounter. A 'billable code' is detailed enough to …

ICD 10 code for Pseudomonas (aeruginosa) (mallei) (pseudomallei) as the cause of diseases classified elsewhere. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code B96.5. ... Urinary tract infection due to pseudomonas; ICD-10-CM B96.5 is grouped within Diagnostic Related Group(s) (MS-DRG v 41.0): 867 Other infectious and parasitic …Persistent postprocedural fistula, initial encounter. T81.83XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM T81.83XA became effective on October 1, 2023.Disruption of wound, unspecified, initial encounter. T81.30XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM T81.30XA became effective on October 1, 2023.Wound complications include surgical site infections, seromas, hematomas, wound dehiscence, and hernias. Approximately 5% to 10% of patients who undergo major abdominal surgery will develop wound infections. Incisional surgical site infections can be superficial or deep, depending on whether the skin or subcutaneous tissue, or fascia …ICD-10-CM Code for Unspecified open wound of abdominal wall, left lower quadrant without penetration into peritoneal cavity, initial encounter S31.104A ICD-10 code S31.104A for Unspecified open wound of abdominal wall, left lower quadrant without penetration into peritoneal cavity, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain ...ICD 10 code for Unspecified open wound of abdominal wall, right upper quadrant with penetration into peritoneal cavity, initial encounter. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code S31.600A. ... wound infection; Type 1 Excludes. traumatic amputation of part of abdomen, lower back and pelvis (S38.2-, S38.3) Type 2 …ICD-10 code S31.109A for Unspecified open wound of abdominal wall, unspecified quadrant without penetration into peritoneal cavity, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes . Official Long Descriptor.Peritoneal abscess. K65.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM K65.1 became effective on October 1, 2023. This is the American ICD-10-CM version of K65.1 - other international versions of ICD-10 K65.1 may differ.ICD-10-CM Code S31.109D Unspecified open wound of abdominal wall, unspecified quadrant without penetration into peritoneal cavity, subsequent encounter. BILLABLE. ... ICD-10 from 2011 - 2016. ... Abdominal trauma presents a risk of severe blood loss and infection. Diagnosis may involve ultrasonography, computed tomography, and …

Blister (nonthermal) of abdominal wall, initial encounter. S30.821A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM S30.821A became effective on October 1, 2023. This is the American ICD-10-CM version of S30.821A - other international versions of ICD-10 S30 ...

Abdominal trauma presents a risk of severe blood loss and infection. Diagnosis may involve ultrasonography, computed tomography, and peritoneal lavage, and treatment …T81.83XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM T81.83XA became effective on October 1, 2023. This is the American ICD-10-CM version of T81.83XA - other international versions of ICD-10 T81.83XA may differ.For most surface wounds, a nonprescription ointment (Vaseline, Polysporin, others) provides adequate protection. Cover the wound with a bandage. Change bandages at least daily. Watch for signs of infection. Irritation, pain and pus all signal possible infection and the need for medical care.Overview: This list contains commonly used ICD-10 codes in wound care, and is an excerpt of the complete ICD-10-CM codes published by the Centers for Medicare and Medicaid …Surgical site infection (SSI) is defined by the Centers for Disease Control and Prevention as a wound infection that occurs within 30 days of an operative procedure or within a year if an implant is left in place and the infection is thought to be secondary to surgery. 1 It is one of the most common health-care–associated infections, occurring following 1%–3% …ICD 10 code for Other mechanical complication of other specified internal prosthetic devices, implants and grafts, initial encounter. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code T85.698A. ... T85.7 Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts . T85.71 Infection and inflammatory …Coding Exampes. Main term entries in the ICD-10-CM index for open wounds can be either the type of wound (e.g., puncture), or the term wound, open.Using either term will allow the coder to find the correct type of wound and anatomical location by using the indented subterms.

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S31 Open wound of abdomen, lower back, pelvis and external genitals. S31.0. Open wound of lower back and pelvis. S31.1. Open wound of abdominal wall without penetration into peritoneal cavity. S31.2. Open wound of penis. S31.3. Open wound of scrotum and testes.ICD-10-CM Codes. S00-T88. S30-S39. S31-. Open wound of abdominal wall with penetration into peritoneal cavity S31.6. Open wound of abdominal wall with penetration into peritoneal cavity S31.6-. S31.6 Open wound of abdominal wall with penetration into peritoneal cavity. S31.60 Unspecified open wound of abdominal wall with penetration into ...ICD-10-CM Code for Unspecified open wound of abdominal wall, right lower quadrant without penetration into peritoneal cavity, initial encounter S31.103A ICD-10 code S31.103A for Unspecified open wound of abdominal wall, right lower quadrant without penetration into peritoneal cavity, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain ...O90.89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Oth complications of the puerperium, NEC; The 2024 edition of ICD-10-CM O90.89 became effective on October 1, 2023. This is the American ICD-10-CM version of O90.89 - other international versions of ICD-10 O90.89 ...B99.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM B99.9 became effective on October 1, 2023. This is the American ICD-10-CM version of B99.9 - other international versions of ICD-10 B99.9 may differ. The following code (s) above B99.9 contain annotation ...Examples of such factors are: (I) patient related variables and comorbidities: smoking, 12 obesity, 13 chronic pulmonary disease, renal insufficiency or diabetes 14 and use of immunosuppressive agents 15 16; (II) procedure related factors: operation type, 9 17 type of incision and closure 18–20 and length of operation time 21; (III) postoperative …Other bacterial infections of unspecified site. A49.8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM A49.8 became effective on October 1, 2023.Disruption of wound, unspecified, initial encounter. T81.30XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM T81.30XA became effective on October 1, 2023.T81.40XA is a billable diagnosis code used to specify a medical diagnosis of infection following a procedure, unspecified, initial encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. T81.40XA is an initial encounter code, includes a 7th ... ….

Disruption of wound, unspecified, initial encounter. T81.30XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM T81.30XA became effective on October 1, 2023.The 2024 edition of ICD-10-CM T81.44 became effective on October 1, 2023. This is the American ICD-10-CM version of T81.44 - other international versions of ICD-10 T81.44 may differ. Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. ICD 10 code for Sepsis following a procedure.Overview: This list contains commonly used ICD-10 codes in wound care, and is an excerpt of the complete ICD-10-CM codes published by the Centers for Medicare and Medicaid Services (CMS). Refer to the topic "ICD-10-CM Diagnosis Codes" for complete lists. Updates that went into effect October 1st, 2020 include 490 new codes, 47 revised … ICD-10-CM Codes. S00-T88. S30-S39. S31-. Open wound of abdominal wall with penetration into peritoneal cavity S31.6. Open wound of abdominal wall with penetration into peritoneal cavity S31.6-. S31.6 Open wound of abdominal wall with penetration into peritoneal cavity. S31.60 Unspecified open wound of abdominal wall with penetration into ... ICD 10 code for Unspecified open wound of abdominal wall, periumbilic region without penetration into peritoneal cavity, initial encounter. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code S31.105A.ICD 10 code for Other mechanical complication of other specified internal prosthetic devices, implants and grafts, initial encounter. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code T85.698A. ... T85.7 Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts . T85.71 Infection and inflammatory …New technologies are continually developed for the wound care market. This article provides an overview of the process for obtaining a new or revised ICD-10-Clinical Modification and/or ICD-10-Procedure Coding System code. Manufacturers, providers and researchers often forget that this process can be lengthy and must be included in product ...Abdominal infections are usually polymicrobial and result in an intra-abdominal abscess or secondary peritonitis, which may be generalized or localized (phlegmon). The approach to antimicrobial selection and administration for intra-abdominal infections in adults is discussed here. The general and surgical management of these …T81.41XD is a billable diagnosis code used to specify a medical diagnosis of infection following a procedure, superficial incisional surgical site, subsequent encounter. . The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2 Icd 10 abdominal wound infection, Symptoms and Signs |. Diagnosis |. Treatment |. Prognosis |. Key Points |. More Information. Abscesses can occur anywhere in the abdomen and retroperitoneum. They mainly occur …, ICD-10 code T81.43 for Infection following a procedure, organ and space surgical site is a medical classification as listed by WHO under the range -Co ... Intra-abdominal abscess following a procedure Subphrenic abscess following a procedure. T81.4. ... T85.7) obstetric surgical wound infection (O86.0-) postprocedural fever NOS postprocedural ..., Oct 1, 2018 · T81.41XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Infct fol a proc, superfic incisional surgical site, init The 2024 edition of ICD-10-CM T81.41XA became effective on October 1, 2023. , ... ICD-10-CM Diagnosis Codes. ... S31.10 Unspecified open wound of abdominal wall without penetration into peritoneal cavity ... View the general equivalency mappings ..., Indices Commodities Currencies Stocks, Abdominal wall cellulitis. ICD-10-CM L03.311 is grouped within Diagnostic Related Group (s) (MS-DRG v41.0): 573 Skin graft for skin ulcer or cellulitis with mcc. 574 Skin graft for skin ulcer or cellulitis with cc. 575 Skin graft for skin ulcer or cellulitis without cc/mcc. 602 Cellulitis with mcc., Children of dysfunctional families adopt roles to help them manage and ease pain. Helpful, good books have been written over the last few decades about dysfunctional families and t..., Candidiasis of skin and nail. B37.2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM B37.2 became effective on October 1, 2023. This is the American ICD-10-CM version of B37.2 - other international versions of ICD-10 B37.2 may differ., Evidence notes that wound dehiscence may occur in up to 3% of abdominal surgeries and can cause significant complications. In some cases, only the edges of an incision may pull apart in one or ..., Sometimes when your child is all wound up about something, whether it’s anxiety or excitement or energy, the best way to snap them out of it or calm their nerves is with a sensory ..., The biggest worry is the spread of tetanus, which can infect those with puncture wounds. Some of the billions of dollars worth of damage Harvey has inflicted upon Texas has been on..., ICD-IO-CM codes for Wound Complications Description Disruption of wound, unspecified Isrup Ion o ex erna opera Ion surgica woun elsewhere classified Disruption of internal operation (surgical) wound, elsewhere classified Disruption of traumatic injury wound repair Infection following a procedure , no not, ICD-10 code S31.139A for Puncture wound of abdominal wall without foreign body, unspecified quadrant without penetration into peritoneal cavity, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes ., 500 results found. Showing 1-25: ICD-10-CM Diagnosis Code Z48.01 [convert to ICD-9-CM] Encounter for change or removal of surgical wound dressing. Change or removal of surgical wound dressing done; Surgical wound dressing change or removal. ICD-10-CM Diagnosis Code T81.32XA [convert to ICD-9-CM], ICD-10-CM Code for Unspecified open wound of abdominal wall, unspecified quadrant without penetration into peritoneal cavity, initial encounter S31.109A ICD-10 code S31.109A for Unspecified open wound of abdominal wall, unspecified quadrant without penetration into peritoneal cavity, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain ... , T81.40XA is a billable diagnosis code used to specify a medical diagnosis of infection following a procedure, unspecified, initial encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. T81.40XA is an initial encounter code, includes a 7th ..., ICD-10-CM Code. T81.31XA. T81.31XA is a valid billable ICD-10 diagnosis code for Disruption of external operation (surgical) wound, not elsewhere classified, initial encounter . It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 ., Surgical site infection (SSI) is defined by the Centers for Disease Control and Prevention as a wound infection that occurs within 30 days of an operative procedure or within a year if an implant is left in place and the infection is thought to be secondary to surgery. 1 It is one of the most common health-care–associated infections ..., ICD-10-CM Code for Unspecified open wound of abdominal wall, left lower quadrant without penetration into peritoneal cavity, initial encounter S31.104A ICD-10 code S31.104A for Unspecified open wound of abdominal wall, left lower quadrant without penetration into peritoneal cavity, initial encounter is a medical classification as listed by WHO under the …, Wound complications include surgical site infections, seromas, hematomas, wound dehiscence, and hernias. Approximately 5% to 10% of patients who undergo major abdominal surgery will develop wound infections. Incisional surgical site infections can be superficial or deep, depending on whether the skin or subcutaneous tissue, or fascia …, S31.10 Unspecified open wound of abdominal wall without penetration into peritoneal cavity. S31.100 Unspecified open wound of abdominal wall, right upper quadrant without penetration into peritoneal cavity. S31.100A …… initial encounter. , B99.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM B99.9 became effective on October 1, 2023. This is the American ICD-10-CM version of B99.9 - other international versions of ICD-10 B99.9 may differ. The following code (s) above B99.9 contain …, R19.00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Intra-abd and pelvic swelling, mass and lump, unsp site The 2024 edition of ICD-10-CM R19.00 became effective on October 1, 2023., MSSA infections caused by methicillin-susceptible Staphylococcus aureus bacteria are localized to infected cuts, scrapes or rashes, and symptoms present themselves as wounds filled..., Abdominal trauma presents a risk of severe blood loss and infection. Diagnosis may involve ultrasonography, computed tomography, and peritoneal lavage, and treatment may involve surgery. Injury to the lower chest may cause splenic or liver injuries., T81.40XA is a billable diagnosis code used to specify a medical diagnosis of infection following a procedure, unspecified, initial encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. T81.40XA is an initial encounter code, includes a 7th ..., ICD-10-CM Code for Disruption of external operation (surgical) wound, not elsewhere classified T81.31 ICD-10 code T81.31 for Disruption of external operation (surgical) wound, not elsewhere classified is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes ., The 2024 edition of ICD-10-CM T83.7 became effective on October 1, 2023. This is the American ICD-10-CM version of T83.7 - other international versions of ICD-10 T83.7 may differ. The following code(s) above T83.7 contain annotation back-references, ICD-10-CM Code for Open wound of abdomen, lower back, pelvis and external genitals S31. ICD-10 code S31 for Open wound of abdomen, lower back, pelvis and external …, Peritoneal adhesions (postprocedural) (postinfection) K66.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM K66.0 became effective on October 1, 2023. This is the American ICD-10-CM version of K66.0 - other international versions of ICD-10 K66.0 may differ., L08.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Local infection of the skin and subcutaneous tissue, unsp. The 2024 edition of ICD-10-CM L08.9 became effective on October 1, 2023., ICD 10 code for Unspecified open wound of abdominal wall, epigastric region without penetration into peritoneal cavity. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code S31.102. ... This is the American ICD-10-CM version of S31.102 - other international versions of ICD-10 S31.102 may ... wound infection; Type 1 Excludes ..., The CDC defines an SSI as an infection related to a surgical procedure that occurs near the surgical site within 30 days following surgery (or up to 90 days following surgery …