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ICD-10 Guide
ICD-10 CodesS01.12

S01.12

Billable

Laceration with foreign body of eyelid and periocular area

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

Code Description

ICD-10 S01.12 is a billable code used to indicate a diagnosis of laceration with foreign body of eyelid and periocular area.

Key Diagnostic Point:

S01.12 refers to a laceration of the eyelid and periocular area that is complicated by the presence of a foreign body. This type of injury can occur due to various mechanisms, including trauma from sharp objects, falls, or accidents involving tools or machinery. The eyelid and surrounding areas are particularly vulnerable due to their anatomical structure and the presence of delicate tissues. Clinical presentation may include visible laceration, swelling, redness, and potential foreign body sensation. The presence of a foreign body can complicate the healing process and may lead to infection or further tissue damage if not properly addressed. Diagnosis typically involves a thorough examination, including visual acuity tests and imaging if necessary, to assess the extent of the injury and the nature of the foreign body. Management often requires surgical intervention to remove the foreign body, repair the laceration, and prevent complications such as scarring or infection. Proper coding is essential to ensure accurate billing and to reflect the complexity of the injury.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates the injury
  • Requires detailed documentation of the injury mechanism
  • Potential for multiple treatment modalities
  • Need for accurate anatomical localization

Audit Risk Factors

  • Inadequate documentation of the foreign body type and location
  • Failure to specify the mechanism of injury
  • Misclassification of the injury severity
  • Omission of follow-up care details

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include the mechanism of injury, assessment of visual acuity, and details of foreign body removal.

Common Clinical Scenarios

Trauma cases involving sports injuries, workplace accidents, or domestic injuries.

Billing Considerations

Consideration of potential eye injuries and the need for ophthalmology consultation.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, foreign body identification, and repair techniques used.

Common Clinical Scenarios

Surgical intervention for complex lacerations requiring repair and foreign body extraction.

Billing Considerations

Documentation should reflect the surgical complexity and any complications encountered during the procedure.

Coding Guidelines

Inclusion Criteria

Use S01.12 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the injury's specifics, including the presence of a foreign body and the anatomical site affected

Exclusion Criteria

Do NOT use S01.12 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 performing a simple repair after foreign body removal.

Documentation Requirements

Operative report must detail the repair technique and any complications.

Specialty Considerations

Considerations for cosmetic outcomes in eyelid repairs.

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 the differentiation of lacerations with and without foreign bodies, which enhances data accuracy and improves patient care tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including the differentiation of lacerations with and without foreign bodies, which enhances data accuracy and improves patient care tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including the differentiation of lacerations with and without foreign bodies, which enhances data accuracy and improves patient care tracking.

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 S01.12?

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