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ICD-10 Guide
ICD-10 CodesS01.122

S01.122

Billable

Laceration with foreign body of left eyelid and periocular area

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

Code Description

ICD-10 S01.122 is a billable code used to indicate a diagnosis of laceration with foreign body of left eyelid and periocular area.

Key Diagnostic Point:

S01.122 refers to a laceration of the left eyelid and periocular area that is complicated by the presence of a foreign body. This injury can occur due to various mechanisms, including trauma from sharp objects, falls, or accidents involving tools or machinery. The eyelid and surrounding tissues are particularly vulnerable due to their thin skin and proximity to the eye, making prompt assessment and management critical. Clinical evaluation typically involves a thorough history to ascertain the mechanism of injury, followed by a physical examination to assess the extent of the laceration, the presence of foreign bodies, and any associated injuries to the eye itself. Management may include cleaning the wound, removal of the foreign body, and suturing if necessary. Complications can include infection, scarring, and potential damage to the eye, necessitating careful follow-up. Accurate coding requires detailed documentation of the injury's nature, the foreign body involved, and any treatment provided.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates the injury
  • Potential for associated eye injuries
  • Need for detailed documentation of the mechanism of injury
  • Variability in treatment approaches based on injury severity

Audit Risk Factors

  • Inadequate documentation of the foreign body type
  • Failure to specify the mechanism of injury
  • Omission of associated eye injuries
  • Incorrect coding of the laceration depth or extent

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include a detailed account of the injury mechanism, foreign body identification, and initial treatment provided.

Common Clinical Scenarios

Patients presenting with lacerations from accidents, fights, or sports injuries involving the eye area.

Billing Considerations

Consideration of potential eye injuries is crucial; documentation should reflect any visual acuity assessments performed.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, foreign body removal, and any reconstruction performed.

Common Clinical Scenarios

Surgical repair of eyelid lacerations with foreign body removal, often requiring consultation with ophthalmology.

Billing Considerations

Ensure that all surgical interventions are documented, including any complications encountered during the procedure.

Coding Guidelines

Inclusion Criteria

Use S01.122 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 affected anatomical site

Exclusion Criteria

Do NOT use S01.122 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 repairing a laceration of the eyelid with foreign body removal.

Documentation Requirements

Operative report must detail the laceration repair and foreign body removal.

Specialty Considerations

Ensure that the procedure is linked to the diagnosis of S01.122.

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 is the importance of documenting the foreign body in laceration cases?

Documenting the foreign body is crucial as it affects the treatment plan, potential complications, and the accuracy of coding. It ensures that the medical record reflects the complexity of the injury and supports the chosen diagnosis code.