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ICD-10 Guide
ICD-10 CodesS11.92

S11.92

Billable

Laceration with foreign body of unspecified part of neck

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 S11.92 is a billable code used to indicate a diagnosis of laceration with foreign body of unspecified part of neck.

Key Diagnostic Point:

S11.92 refers to a laceration in the neck area that is complicated by the presence of a foreign body. This injury can occur due to various mechanisms, including accidents involving sharp objects, falls, or penetrating injuries. The neck is a critical area containing vital structures such as the trachea, esophagus, major blood vessels, and nerves. The presence of a foreign body can complicate the injury, leading to potential infections, vascular damage, or airway compromise. Clinical evaluation typically involves a thorough physical examination, imaging studies (such as X-rays or CT scans), and possibly endoscopy to assess the extent of the injury and the nature of the foreign body. Management may include surgical intervention to remove the foreign body, repair of the laceration, and prophylactic antibiotics to prevent infection. The complexity of this injury necessitates careful documentation and coding to ensure accurate representation of the patient's condition and treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates the injury.
  • Potential for multiple anatomical structures involved.
  • Variability in documentation based on mechanism of injury.
  • Need for precise description of the laceration and foreign body.

Audit Risk Factors

  • Inadequate documentation of the foreign body type and location.
  • Failure to specify the mechanism of injury.
  • Misclassification of the injury severity.
  • Lack of follow-up documentation regarding treatment outcomes.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include a detailed account of the injury mechanism, physical examination findings, and any imaging studies performed.

Common Clinical Scenarios

Patients presenting with knife wounds, glass lacerations, or other sharp object injuries to the neck.

Billing Considerations

Ensure that the foreign body is clearly documented, including its size, type, and location.

Surgery

Documentation Requirements

Operative reports should detail the surgical approach, foreign body removal, and any repairs performed.

Common Clinical Scenarios

Surgical intervention for foreign body removal and repair of lacerations in the neck.

Billing Considerations

Document any complications during surgery and the condition of the surrounding tissues.

Coding Guidelines

Inclusion Criteria

Use S11.92 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the patient's condition and that all relevant documentation supports the coding choice

Exclusion Criteria

Do NOT use S11.92 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for repair of lacerations in the neck area.

Documentation Requirements

Document the size of the laceration and the method of repair.

Specialty Considerations

Emergency and surgical specialties should ensure accurate coding based on the complexity of the repair.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, including those with foreign bodies, which enhances the accuracy of patient records and facilitates better data analysis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including those with foreign bodies, which enhances the accuracy of patient records and facilitates better data analysis.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including those with foreign bodies, which enhances the accuracy of patient records and facilitates better data analysis.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What should be documented to support the use of S11.92?

Documentation should include the mechanism of injury, details about the foreign body, the extent of the laceration, and any treatment provided.