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ICD-10 Guide
ICD-10 CodesS01.119

S01.119

Billable

Laceration without foreign body of unspecified eyelid and periocular area

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

Code Description

ICD-10 S01.119 is a billable code used to indicate a diagnosis of laceration without foreign body of unspecified eyelid and periocular area.

Key Diagnostic Point:

S01.119 refers to a laceration of the eyelid or periocular area that does not involve a foreign body. This type of injury can occur due to various mechanisms, including blunt trauma, sharp objects, or accidental injuries. The eyelid and surrounding areas are particularly susceptible to lacerations due to their anatomical location and the delicate nature of the tissues involved. Clinically, these injuries may present with bleeding, swelling, and pain, and can potentially affect vision if the laceration is deep or involves the eyelid margin. The management of such lacerations typically involves thorough cleaning, assessment for depth and extent, and may require suturing or other interventions to ensure proper healing and cosmetic outcomes. Complications can include infection, scarring, and functional impairment of the eyelid. Accurate coding requires careful documentation of the injury's specifics, including the mechanism of injury and any associated complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of injury specifics
  • Need for precise anatomical terminology
  • Differentiation from similar codes (e.g., lacerations with foreign bodies)
  • Potential for associated injuries requiring additional coding

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the depth or extent of the laceration
  • Misclassification of laceration type (e.g., coding as open wound)
  • Lack of follow-up documentation for complications

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include a detailed description of the injury, mechanism of injury, and any immediate interventions performed.

Common Clinical Scenarios

Common scenarios include injuries from falls, sports accidents, or assaults leading to eyelid lacerations.

Billing Considerations

Consideration should be given to the potential for associated injuries, such as fractures or ocular damage.

Surgery

Documentation Requirements

Operative reports should detail the surgical approach, type of closure, and any complications encountered during the procedure.

Common Clinical Scenarios

Surgical management may be required for deep lacerations or those involving the eyelid margin.

Billing Considerations

Documentation must reflect the surgical technique used and any postoperative care instructions.

Coding Guidelines

Inclusion Criteria

Use S01.119 When
  • Follow the ICD
  • CM coding guidelines for injuries, ensuring that the code accurately reflects the nature of the injury and any associated conditions
  • Documentation must support the diagnosis and any treatment provided

Exclusion Criteria

Do NOT use S01.119 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds of the face, ears, eyelids, and scalp

Clinical Scenario

Used when a laceration of the eyelid is repaired in an outpatient setting.

Documentation Requirements

Operative report must detail the repair technique and any complications.

Specialty Considerations

Emergency and surgical specialties must 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 lacerations of the eyelid and periocular area. This specificity aids in better tracking of injury patterns and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including lacerations of the eyelid and periocular area. This specificity aids in better tracking of injury patterns and outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including lacerations of the eyelid and periocular area. This specificity aids in better tracking of injury patterns and outcomes.

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 is the difference between S01.119 and S01.120?

S01.119 is used for lacerations without foreign bodies, while S01.120 is for lacerations that involve a foreign body. Accurate documentation is essential to determine which code to use.