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ICD-10 Guide
ICD-10 CodesS01.23

S01.23

Billable

Puncture wound without foreign body of nose

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

Code Description

ICD-10 S01.23 is a billable code used to indicate a diagnosis of puncture wound without foreign body of nose.

Key Diagnostic Point:

A puncture wound of the nose is a specific type of injury characterized by a small, deep wound caused by a sharp object penetrating the skin and underlying tissues. This injury typically results from accidents involving sharp instruments, animal bites, or falls. Unlike lacerations, puncture wounds are often narrow and can be deceptively deep, potentially damaging underlying structures such as cartilage or blood vessels. The absence of a foreign body indicates that the wound does not contain any embedded objects, which simplifies the management and treatment process. Clinical evaluation should include a thorough assessment of the wound, checking for signs of infection, and ensuring that there is no damage to the nasal passages or surrounding structures. Treatment often involves cleaning the wound, possibly suturing if the wound is large, and administering tetanus prophylaxis if indicated. Proper documentation of the mechanism of injury, the extent of the wound, and any treatment provided is essential for accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between puncture wounds and other types of wounds.
  • Assessing the need for additional codes if complications arise.
  • Understanding the implications of foreign body presence or absence.
  • Documenting the mechanism of injury accurately.

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury.
  • Failure to specify the absence of foreign bodies.
  • Misclassification of the wound type.
  • Inconsistent coding with treatment provided.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Documentation must include a detailed description of the injury, mechanism of injury, and any immediate treatment provided.

Common Clinical Scenarios

Patients presenting with puncture wounds from falls, animal bites, or sharp objects.

Billing Considerations

Ensure that all relevant details are captured to support the diagnosis and treatment provided.

Surgery

Documentation Requirements

Operative reports should detail the surgical approach, any repairs made, and post-operative care.

Common Clinical Scenarios

Surgical intervention for deep puncture wounds requiring repair or debridement.

Billing Considerations

Document any complications or additional procedures performed during surgery.

Coding Guidelines

Inclusion Criteria

Use S01.23 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the clinical scenario and that all documentation supports the diagnosis

Exclusion Criteria

Do NOT use S01.23 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used when a puncture wound requires suturing.

Documentation Requirements

Document the size of the wound 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 puncture wounds, which helps in better tracking and management of these injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds, which helps in better tracking and management of these injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds, which helps in better tracking and management of these injuries.

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 a puncture wound and a laceration?

A puncture wound is a small, deep wound caused by a sharp object, while a laceration is a tear or cut in the skin that may be wider and more superficial.