L03.115 - Cellulitis of right lower limb

Clinical Definition

A bone contusion, also known as a bone bruise, is an injury to the bone where the internal architecture is damaged but not severely enough to cause a fracture. It represents microtrabecular fractures within the bone structure that aren't visible on standard X-rays but can be seen on MRI.

Documentation Requirements

• Anatomical location (specific bone must be identified)

• Laterality (left, right, bilateral)

• Initial vs. subsequent encounter

• Healing status (routine, delayed, nonunion)

• Trauma history/cause of injury

• Presence of any associated soft tissue injury

• Pain characteristics and severity

• Weight-bearing status (if applicable)

Common Synonyms

• Bone bruise

• Deep bone bruising

• Microtrabecular fracture

• Subchondral injury

• Intraosseous contusion

Coding Conflicts

Excludes1:

• Superficial contusion (bruise) of skin

• Frank fractures

• Stress fractures

Excludes2:

• Joint effusion

• Muscle contusion

• Tendon injuries

Scribing.io Automation

The AI scribe automatically identifies and captures:

• Location-specific terminology (e.g., "femoral", "tibial plateau")

• Laterality mentions

• Mechanism of injury descriptions

• Associated symptoms

• Treatment planning keywords

The system also flags incomplete documentation when key elements like laterality or specific bone location are missing, prompting for clarification in real-time.